老年住院患者384例肺部真菌感染的临床分析

Clinical Analysis of Pulmona ry Fungus Infectin in 384 Senile Patients in Hospital

目的 探讨老年住院患者肺部真菌感染的危险因素及防治手段。方法 对住院的384例老年患者肺部真菌感染的临床资料进行分析。结果 老年肺部真菌病原菌以白色念珠菌为主,有2 5 9例(6 7.4 5 % )。结论 老年住院患者肺部真菌感染的原因复杂,临床死亡率高;慢性基础疾病、各种有创性诊断、激素及免疫抑制剂的使用、长期应用广谱抗生素等是老年肺部真菌感染的危险因素;早期诊断和治疗较有意义。

Objective:To disc u ss the risk factors,prevention and treat ing measure of pulmonary fungus infectio n in 384 senile patients in hospital; Methods:Retrospective analysi s was given to the clinical data of the 384 senile patients with pulmonary fungu s infection.Results:Monili a albi cans is a mainly pathogenic fungus of pu lmonary fungus infection in senile patie nts,occurred in 295 cases(67.45%). Conclusions:The reason of pulmon ary fungus infection in senile patients in hospital is complex and its clinical mortality is high;chronic basic disease, various injurying diagnose,uses of homon e,immune inhibitor an broad-spectrum ant ibiotic and the like were dangerous fact ors in pulmonary fungus infection in sen ile patients;it is very important for e arly diannose and therapy.