老年人肺部真菌感染82例分析  

Analysis of 82 elderly patients with pulmonary fungal infection

作　　者：隋东江[1] 赵海霞[1] 李伟生[1] 刘小静[1] 崔菲[1] 

机构地区：[1]空军总医院干部病房3区,北京100142

出　　处：《临床肺科杂志》2013年第8期1399-1400,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析和探讨老年肺部真菌感染的临床特点。方法病例182例,将超出60岁的老年人82例列入研究组,不足60岁的年轻患者100例列入对照组,对比分析两组患者的真菌感染症状体征及感染真菌类型。结果研究组患者发热、痰液粘稠量多、肺部干、湿啰音增多、呼吸加快、不良精神症状均明显高于对照组,数据经统计学比较具有显著差异(P<0.05)。研究组患者存在隐球菌和曲霉菌感染的比例明显高于对照组,数据经统计学比较具有显著差异(P<0.05)。研究组患者治疗总有效率明显低于对照组,数据经统计学比较具有显著差异(P<0.05)。结论老年人肺部真菌感染病死率高,临床症状和不良体征表现多,尽可能的减少真菌侵袭的渠道,以达到减少发病的目的。Objective To analyze the clinical features of senile patients with pulmonary fungal infection.Methods 182 patients with pulmonary fungal infection were divided into two groups based on their age.The patients in the study group were older than 60 years old（82 cases）,and the control group was younger than 60-year-old（100 cases）.The signs and symptoms and the type of fungal infection were compared between the two groups.Results The incidence of fever,sticky sputum volume,lungs dry,moist rales increased,and rapid breathing was obviously higher in the study group than in the control group with statistical significance（P〈0.05）.The ratio of patients with cryptococcal and aspergillus infection was significantly higher in the study group than in the control group（P〈0.05）.The total effective rate was obviously lower in the study group than in the control group（P〈0.05）.Conclusion The elderly patients with pulmonary fungal infections have a high mortality,various clinical symptoms and adverse signs.There is no specificity compared with young patients with pulmonary fungal infections.The best ways to reduce infection include clinical prevention and control of fungal invasion channels.

关 键 词：老年人 肺部真菌感染 临床分析 

分 类 号：R519[医药卫生—内科学]