摘要
1958~1992年间诊治烧伤真菌菌血症56例,占同期收治总数的0.39%,其死亡率为39.29%。病原菌以白色念珠菌为多,占75%。以1985年为界前后两个时期经统计处理表明:1986年以来真菌菌血症发病率为0.58%,显著高于1985年前发病率的0.26%(P<0.01);其治愈率82.35%显著高于前期的27.27%(P<0.01)。我们总结了真菌菌血症的临床特征,对其发病原因、临床诊断和治疗进行了探讨。
Mycethemia was diagnosed in 56 burn patients between 1958 and 1992.The overall inci- dence was 0.39% and the mortality rate was 39.29%。 Candida albicans,constituting for 75% of cases, was most common encountered.The incidence was 0.26% and the mortality 72.73% in years before 1985,while that in the years after 1985 were 0.58% and 17.65%,respectively.The differences are of significance (P<0.01) predisposing.The clinical characteristics were summed up,and the causes,clinical diagnosis and treatment were studied and discussed.