慢性阻塞性肺疾病合并肺部真菌感染的诊治体会

Diagnosis and Treatment of COPD Patients with Pulmonary Fungal Infection

目的:探讨慢性阻塞性肺疾病(COPD)合并肺部真菌感染的诊断、临床特性及分析氟康唑治疗效果。方法:回顾性分析78例COPD合并肺部真菌感染患者的临床资料。结果:78例COPD合并肺部真菌感染患者用氟康唑治疗,痊愈56例,显效10例,总有效率为84.62%。患者年龄偏大、广泛使用抗菌药和激素、合并糖尿病等其他基础疾病都是易感因素。结论:早期诊断和及时加用氟康唑进行抗真菌治疗是防止COPD合并肺部真菌感染加重病情的重要措施。

OBJECTIVE:To study the diagnosis and clinical characteristics of chronic obstructive pulmonary disease(COPD) with pulmonary fungal infection.METHODS:Clinical information of 78 COPD patients with pulmonary fungal infection was analyzed retrospectively.RESULTS:78 COPD patients with pulmonary fungal infection were treated with fluconazole.56 cases were cured,and 10 cases were effective.The total effective rate was 84.62%.Susceptible factors were old age,widespread use of antibacterial drugs and hormones,compli...