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手术后深部白色念珠菌感染的临床分析 被引量:23

Clinical analyses of postoperative systemic candidiasis albicans infection
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摘要 目的探讨外科手术后的患者并发深部白色念珠菌感染的危险因素、诊断及治疗。方法收集22例手术后并发深部念珠菌病患者,其中念珠菌性败血症6例。分析易引起术后念珠菌感染的危险因素。结果第三代头孢菌素的长时间应用和术后各种并发症存在是主要危险因素。诊断的关键是对该病的警惕和认识。治疗上提出积极治疗原发病和术后其它合并症与抗真菌药物的应用同样重要。结论氟康唑对术后深部白色念珠菌病包括念珠菌性败血症的治疗效果确切,副作用少,应早期、大剂量使用。 Objective To investigate the risk fectors for diagnosis and treatment of the patients complicated with systemic candidiasis albieans after operation. Method Twenty two patients complicated with systemic Candidiasis albicans after operation were investigated, six of them with fungal septicemia. Results The data showed that a lasting use of 3rd generation cephalosporins and a variety of postoperative complicateions were the primary risk factors for the occurrence of postoperative candida infection. The key to diagnose was the alertness and recognition for the disease. Conclusions The results suggested that the strong treatment of original disease and postoperative complication was same importance as the application of antifungal drug. The efficacy of postoperative systemic Candidiasis albicans and Candidae septicemia. Because of its little side-effects, a large dose of fluconazole should be early administered.
作者 郑峰 王军
出处 《中华医院感染学杂志》 CAS CSCD 1998年第1期1-3,共3页 Chinese Journal of Nosocomiology
关键词 手术后 白色念珠菌病 白色念珠菌感染 外科感染 Postoperation Systemic candidiasis albicans
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