侵袭性肺部真菌感染85例临床分析  

Clinical analysis of 85 cases of invasive pulmonary fungal infection

作　　者：袁彦丽[1] 王静[1] 冯羡菊[2] 康燕[1] 王焕勤[1] 张辉[1] 

机构地区：[1]郑州大学第一附属医院呼吸内科,河南郑州450052 [2]郑州大学第一附属医院检验科,河南郑州450052

出　　处：《河南医学研究》2010年第1期39-41,共3页Henan Medical Research

基　　金：2009年河南省科技攻关项目(092102300239)

摘　　要：目的:探讨侵袭性肺部真菌感染的临床特征与高危因素。方法:采用回顾性分析的方法对2008年1月～2009年9月我院85例侵袭性肺部真菌感染的临床资料进行分析。结果:85例患者平均年龄为62岁,痰真菌培养中念珠菌属占首位,共61例。严重的基础疾病、长期联合应用抗生素、糖皮质激素应用成为侵袭性肺部真菌感染的主要危险因素。侵袭性肺部真菌感染的病死率较高。结论:采取支持疗法,治疗原发疾病、减少侵入性诊疗、合理使用抗菌药物等综合措施,预防与控制侵袭性肺部真菌感染的发病率。Objective：To investigate clinical features and risk factors of invasive pulmonary fungal infection（IPFI）.Methods：A retrospective investigation of clinical data from our hospital＇s data banks between Jan.2008 and Sep.2009 queried for 85 patients diagnose as invasive pulmonary fungal infection.Results：The average age of 85 patients was 62-year-old.Candida albiacns（61 total） was the major athogen in the investigation.Serious underlying disease,long-term joint use of antibiotics,glucocorticoid using were the major risk factors of IPFI.The mortality of IPFI was high.Conclusion：To prevent and control IPFI in hospitalized patients,the measures such as curing the underlying diseases,reducing invasive surgical procedures,and using antibiotics reasonably should be adopted.

关 键 词：真菌 肺部感染 危险因素 

分 类 号：R563[医药卫生—呼吸系统]