河北省侵袭性肺部真菌感染的临床调查分析.pdf

1573 Y180 目 录 中文摘要…………………………………………………………………… 1 英文摘要……………………………………………………………………4 研究论文 河北省侵袭性肺部真菌感染的临床调查分析 前言……………………………………···…………………………···7日U舌“”””“”””“””””一”“““””“”一””“““””“”””一”“”” 。7 0 000 0 0…7 材料与方法……………………………………………0 结果……······……···……···························…······…············11 0 00 00000··············”··15 附图·············-·····································0 附表…………………………………………………………………···17 讨论··············································································18 结论……················································…·····················23 参考文献………………………………………………………………25 综述非肿瘤患者侵袭性肺部真菌感染的临床特征……………………28 致谢····················································································41 个人简历……………………………………………………………………42 中文摘要 河北省侵袭性肺部真菌感染的临床调查分析 摘 要 目的：通过制定的规范入选标准来收集统计河北省范围内多家医院呼 吸科肺部侵袭性真菌感染病例(invasive pulmonaryfungal 的临床资料，进而了解在全省范围内呼吸科肺部侵袭性真菌感染病例 (IPFI)的菌种分布、真菌感染影响因素、临床特点、规范诊治的疗程及 疗效等情况。提高我省医师对肺部真菌感染病人的诊疗水平。 方法：通过制定《侵袭性肺部真菌感染病例调查表》，详细规定病例 的入选标准、数据采集标准、诊治规范(参照《侵袭性肺部真菌感染的诊 年2月全省范围内多家医院呼吸科肺部侵袭性真菌感染病例的规范诊治 相关临床资料(包括：一般资料、症状、体征、诊断、治疗、用药、微生 物学资料、影像学资料、病理学资料、辅助检查[血常规、尿常规、便常 规、肝肾功能、电解质]等)。整理分析上述临床资料，统计得出相关数 据，并得出结论。 结果：侵袭性肺部真菌感染患者305例，以60岁以上老年人为主， obstructive 基础疾病及易感因素为：慢支、COPD(chronic pulmonary 1例(16．7％)，非恶性血液疾病 养78例(25．6％)，有创