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1、呼吸内科肺部真菌感染62例临床研究【中图分类号】R563【文献标识码】A【文章编号】1672-3783(2011)09-0067-01【摘要】目的探讨呼吸内科肺部真菌感染的易感因素、临床特征和治疗措施。方法对2006年7月-2009年6月间本院呼吸内科收治并确诊为肺部真菌感染的62例患者病历进行回顾性分析,对呼吸内科肺部真菌感染的易感因素、临床特征和治疗措施进行总结。结果我院呼吸内科真菌感染发生率为2.7%,易感因素主要有长期使用广谱抗生素,糖皮质激素,营养不良,放化疗等;其中患有COPD的32例,占总数的51.6%,COPD是呼吸内科
2、肺内真菌感染的常见基础疾病;主要病原菌为白假丝酵母菌,约占呼吸内科肺部真菌感染的60%;治疗方法主要以抗真菌治疗,积极治疗原发疾病的综合治疗为主。结论长期使用广谱抗生素,糖皮质激素,营养不良,放化疗等因素是呼吸内科肺内真菌感染的易感因素,COPD是呼吸内科真菌感染的常见基础疾病,白假丝酵母菌是主要的病原菌,临床上应予以重视。【关键词】真菌感染呼吸内科肺部C0PD白假丝酵母菌❷Discussesthebreathinternalmedicinedepartmentlungsfungusinfectionclinicallytoanalyz
3、e^[Abstract]Objective:Discussionbreathinternalmedicinedepartmentlungsfungusinfectioneasyfeelingfactor,clinicalcharacteristicandremedialmeasure・Methods:ToJune,2009thiscourtyardbreathinternalmedicinedepartmentadmitstoJuly,2006fromanddiagnosescarriesonthereviewanalysisforth
4、elungsfungusinfection62examplepatientmedicalrecord,tobreathestheinternalmedicinedepartmentlungsfungusinfectiontheeasyfeelingfactor,theclinicalcharacteristicandtheremedialmeasurecarriesonthesummary.Results:Mycourtyardbreathinternalmedicinedepartmentfungusinfectionformatio
5、nrateis2.7%,theeasyfeelingfactormainlytohaveusesthebroadspectrumantibioticforalongtime,thesugarcorticalhormone,themalnutrition,putsthechemothera-PYandsoon:InwhichcontractsCOPD32examples,accountsforthetotal51.6%,COPDisbreathesintheinternalmedicinedepartmentlungfungusinfec
6、tioncommonfoundationdisease;Maindiseasegermforwhiterayonsaccharomycetes,compositionbreathinternalmedicinedepartmentlungsfungusinfection60%;Themethodoftreatmentmainlybytheanti-fungustreatment,positivelytreatstheprimarydiseasethecomplextherapyprimarily.Conclusion:Usesthebr
7、oadspectrumantibioticforalongtime,thesugarcorticalhormone,themainutrition,putsfactorsand80onchemotherapyisbreathesintheinternalmedicinedepartmentlungthefun-gusinfectioneasyfeelingfactor,COPDisbreathestheinternalmedicinedepartmentfungusinfectioncommonfoundationdisease,the
8、whiterayonsaccharomycetesarethemaindiseasegerm,onclinicalshouldgivetotake・❷【Keywords]Fungusinfection;Br