重症监护病房患者肺部真菌感染临床特点.docVIP

重症监护病房患者肺部真菌感染临床特点 　　[摘要] 目的 观察并探究重症监护病房患者的肺部真菌感染特点。方法 方便择取2013年6月―2016年6月期间于该院病室发生肺部真菌感染的64例患者病理资料分析，总结肺部真菌感染具有的临床特点。结果 分离培养实验共发现75株真菌，可分为热带、白色、光滑3种假丝酵母菌，所有菌株均存在于无菌部位与非无菌部位，且非无菌部位的分布数量远远多余无菌部位。其中白色假丝酵母菌最多，占比60.00%（45/75）；热带假丝酵母菌次之，占比24.00%（18/75）；光滑假丝酵母菌最少，占比16.00%（12/75）；各组间对比差异有统计学意义（P0.05）；肺部真菌感染可引发肺部湿罗音、气促、痰量增多、痰液粘稠、发热等临床症状。结论 患者多因白色假丝酵母菌而发生肺部真菌感染，临床应谨慎使用抗生素和激素类药物，严格进行术中无菌操作，避免低蛋白血症等间接诱发肺部真菌感染。 　　[关键词] 重症监护病房；肺部真菌感染；临床特点；高危因素 　　[中图分类号] R519 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0093-03 　　[Abstract] Objective To observe the clinical features of pulmonary mycotic infection of patients in ICU. Methods Convenient selection 64 cases of patients with pulmonary mycotic infection of patients in ICU in our hospital from June 2013 to June 2016 were selected and the clinical features of the pulmonary mycotic infection were summarized. Results 75 strains of funguses were found by the separation and culture experiment， and divided into the tropical， white and smooth candida albicans， and all strains exist in the sterile and non-sterile parts， and the distribution number of non-sterile parts was far more than the non-sterile parts， and the white candida albican was the most， accounting for 60.00%（45/75）， tropical candida albican was the second， accounting for 24.00%（18/75）， and the smooth candida albican was the least， accounting for 16.00%（12/75）， and the differences between groups had statistical significance（P0.05）， and the pulmonary mycotic infection can lead to the clinical symptoms of moist vales of lungs， panting， increased sputum volume， thick sputum and fever. Conclusion The pulmonary mycotic infection occurs to ICU patients due to the white candida albican， and we need to use the antibiotics and hormone drugs carefully， strictly conduct the intraoperative aseptic technic and avoid the hypoproteinemia to indirectly induce the white candida albican. 　　[Key words] ICU； Pulmonary mycotic infection； Clinical features； High-risk factors 　　?文方便选取2013年6月―2016年6月期间于该