肺结核并肺部真菌感染131例临床分析  

Clinical analysis of 131 cases of tuberculosis and pulmonary fungal infection

作　　者：冯伯荣[1] 

机构地区：[1]海南省农垦三亚医院感染科,海南三亚572000

出　　处：《海南医学》2013年第23期3535-3536,共2页Hainan Medical Journal

摘　　要：目的探讨肺结核患者合并肺部真菌感染的原因、临床特征和治疗方法。方法选取我院131例肺结核合并肺部真菌感染的患者。收集患者的痰液,对其进行分析。记录患者的体温变化等临床表现、病理诊断结果以及治疗等情况。此外,观察分析患者的X线影像特征。结果肺结核合并肺部真菌感染者主要发生人群为糖尿病患者及长期使用广谱抗生素的患者。感染真菌的最主要类型为白色念珠菌,约占45.04%。其次为光滑念珠菌,约占20.61%。X线影像结果主要显示为病灶呈不规则状和斑片状,另有少数呈半月状和空洞。结论肺部真菌和免疫功能减低会引起肺结核病继发感染。此病多采用药物治疗,效果显著。Objective To analyze and study the cause, clinical characters, and treatment of tuberculosis and pulmonary fungal infection in our hospital. Methods A total of 131 patients in our hospital who suffer from both tu- berculosis and pulmonary fungal infection were randomly selected. Their sputum was collected and analyzed. The pa- ti.ent＇s change of body temperature, clinical manifestations, results of pathological diagnosis, conditions of medication, and treatment were recorded. In addition, the characteristics and results of the X-ray imaging of the patients were ob- served and analyzed. Results The disease was mainly found in people who suffer from diabetes and patients with long-term use of spectrum antibiotics. The main type of fungal infection is Candida albicans, accounting for 45.05%, followed by yeast （20.61%）. The typical results of X-Ray imaging showed that the focus of infection was in the shape of irregular or patchy, with few of semilunar shape. Conclusion Pulmonary fungal infection and immune deficiency can cause pulmonary tuberculosis secondary infection, which can be effectively treated by drug therapy.

关 键 词：肺结核 真菌 感染 

分 类 号：R521[医药卫生—内科学]