外科ICU呼吸道真菌感染54例分析  

Analysis of 54 Cases of Respiratory Tract Fungal Infection in Surgical Intensive Care Unit

作　　者：胡旭东[1] 梁爱霞[1] 唐兴祥[1] 何仁亮[1] 

机构地区：[1]广东省佛山市第二人民医院SICU,528000

出　　处：《青海医药杂志》2004年第3期10-12,共3页Qinghai Medical Journal

摘　　要：目的 :分析外科监护室病人呼吸道真菌感染的原因、预防及治疗措施。方法 :收集我室1998年 4月— 2 0 0 3年 3月 36 6例感染病人中的 5 4例呼吸道真菌感染病人的资料 ,对可能的危险因素及处理对策进行分析。结果 :各种侵袭性操作、免疫低下、全身情况差、年龄大、预防性使用抗生素等均是真菌感染的危险因素 ;全组 5 4例中死亡 12例 (2 2 .2 % )。结论 :避免盲目使用广谱抗生素等导致呼吸道真菌感染的危险因素 ,加强综合性的预防和治疗 ,是降低真菌感染的发生率 。Objective: To determine the risk factors, prevention and treatment way of respiratory tract fungal infection in surgical intensive care unit (SICU). Methods: 54 patients with fungal infection of respiratory tract came from 366 infective cases in our department from April 1998 to March 2003. Retrospective analysis of risk factors of fungal infection of respiratory tract was performed and the decreased incidence was also discussed. Results: The risk factors include the invasive diagnosis and treatment, decreased immune function, ageing, poor general status and prophylaxis use of antibiotics etc.12 cases died out of 54 cases of fungal infection. Conclusions: The effective methods to reduce the possibility of fungal infection of respiratory tract are avoiding the risk factors such as prophylaxis using of wide-spectrum antibiotic blindly etc, as well as the integrated prevention and treatment.

关 键 词：外科 ICU 呼吸道真菌感染 呼吸系统 真菌感染 危险因素 

分 类 号：R655.3[医药卫生—外科学]