呼吸道真菌沾染临床特色及防治对策(国外英文资料).docVIP

呼吸道真菌感染临床特点及防治对策 Clinical features and prevention and treatment of respiratory fungal infection Update date: 07-21 zhang teng via song shaohui From January 1991 to December 1998, there were 110 cases of respiratory fungal infection in hospitalized patients, accounting for 8.70% of hospital infections. The clinical features and countermeasures are reported as follows. Clinical data of 1 Of the 110 cases of respiratory fungal infection, 83 were men and 27 women; Age 22 ~ 87 years old, average 59.4 years old, or 60 years old person 67 cases, make up 60.91%. Hospital day 8 ~ 129 days, average 28.2 days. Diagnostic criteria: after cleaning the mouth, the sputum smear and the cultivation of the fungus. The group of fungi, the group of fungi, produced 102 cases of white candida, 90.73%. Yeast 4 cases, 3.64%; There were 2 cases of candida, 1.82%; Pseudotropical candida 1, 0.91%; Aspergillus 1, 0.91%. There were 13 cases of single fungal infection and 72 cases of gram-negative bacteria, and 18 cases were combined with gram-positive bacteria, and 7 cases were combined with 2 or more bacterial infections. 1.3 treatment and outcome of 110 patients with respiratory tract fungal infection by ketone health zun, fluconazole, allicin and other antifungal treatment, 92 cases were cured, clinical symptoms, X-ray lung lesions disappeared, sputum cultures 3 consecutive negative) accounted for 83.64%; 12 cases of improvement (improvement in clinical symptoms, X-ray examination of lung lesions, improvement of lung lesions, and no bacterial silk and spores) accounted for 10.91%; Six cases were invalidated, accounting for 5.45%. 2 discuss Of the 110 cases of basic disease, the exception of 2 was the primary disease, with a total of 74 cases of chronic obstructive pulmonary disease, 67.27%. The last 18 cases of malignant tumor, 16.36%; There were 10 cases of tuberculosis, accounting for 9.09%. 4 cases of cerebrovascular accident, 3.64%; There were two cases of renal transplantation and chro