呼吸道真菌感染临床特点及防治对策(Clinical characteristics and prevention and treatment of respiratory fungal infection).docVIP
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呼吸道真菌感染临床特点及防治对策(Clinical characteristics and prevention and treatment of respiratory fungal infection)
Clinical characteristics and prevention and treatment of respiratory fungal infection
Update date: 07-21 zhangteng visa-shaohui
From January 1991 to December 1998, 110 cases of respiratory fungal infection in hospitalized patients accounted for 8.70% of the hospital infection. The clinical features and prevention and control measures are reported as follows.
1 clinical data
1.1 general data 110 cases of respiratory fungal infection, 83 males and 27 females; Age 22 ~ 87 years old, average 59.4 years, 67 cases of 60 years old, accounting for 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 for more than 3 consecutive times.
1.2 the classification of fungi produced white candida albicans in 102 patients, accounting for 90.73 percent. 4 cases of yeast, 3.64%; 2 cases of stellate candida, 1.82%; 1 case of pseudo tropical candida, 0.91%; Aspergillosis 1 case, accounting 0.91%. There were 13 cases of single fungal infection, 72 cases of gram-negative bacteria and 18 cases of gram-positive bacteria, and 7 cases were combined with 2 or more bacteria.
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 improved (clinical symptoms improved, X-ray examination of lung lesions was improved, sputum smear did not find mycelium and spores) accounting for 10.91%; Six cases were invalid, accounting for 5.45%.
2 discuss
2.1 with the exception of 2 in the 110 cases of basic diseases, there are basic diseases, and the number of chronic obstructive pulmonary disease is the highest, with 74 cases, accounting for 67.27%. 18 cases of late malign
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