84例老年肺部真菌感染的临床分析

Clinical Analysis of 84 Cases of Pulmonary Fungal Infection in the Elderly Patients

探讨肺部真菌感染的临床特点、胸部X线表现、真菌感染的类型及预后。对2002年1月至2006年12月84例肺部真菌感染病例进行回顾性分析。100%的患者有基础疾病,其中以慢性阻塞性肺疾病(COPD)、长期机械通气、晚期肿瘤为多见,原发性肺部真菌感染少见。肺部真菌感染的临床表现无特异性,X线表现以支气管肺炎多见(79.8%),病原菌主要以酵母菌属为主(83.3%),肺部真菌感染病死率较高。肺部真菌感染是多种疾病继发感染的重要原因,发病呈上升趋势,应引起临床高度重视。

To find out the clinical features, lung prognosis. 84 cases with pulmonary fungal infection analyzed. Various predisposing diseases were found in findings of X rays, type of fungal infection and from Jan 2002 to Dec 2006 were retrospectively all the cases, and COPD, long--term mechanical ventilation and tumor were main predisposing diseases among them. Primary pulmonary fungal infection was rare. All the clinical manifestations of pulmonary fungal infection were not specific, reontgenographic features showed mainly bronchitis type （79. 8%）. Monilia （Candida） was ranked the first pathogen （83.3%）. The mortality was high. Pulmonary fungal infection is an important cause of the secondary infection in many diseases. The clinical features of pulmonary fungal infection is non-specific and the morbidity is rising. Clinicians should pay more attention to it.