肺结核并发肺部真菌感染82例临床分析

Clinical analysis on 82 cases tuberculosis complicated with of patients who suffered pulmonary pneumomycosis

目的观察肺结核并发肺部真菌感染患者临床特征。方法对我院82例肺结核并发肺部真菌感染患者的临床资料进行回顾性分析。结果肺结核并发肺部真菌感染以老年肺结核、复治肺结核及重症肺结核患者多见，大多数有长期使用广谱抗生素、糖皮质激素等免疫抑制剂等诱因，其临床表现及胸部X线改变无特异性，及时发现，抗真菌治疗效果好。结论肺结核患者更易合并肺部真菌感染，在临床诊疗过程中，更应注意合理抗结核化疗方案，合理使用抗生素及免疫抑制剂。

Objective To observe the clinical features on cases of patients who suffered pulmonary tuberculosis complicated with pneumomycosis. Methods Clinical data of the patients in our hospital were analyzed retrospectively. Results The elder and retreatment TB patients was high risk population with pneumomycosis. Long-term treatment with anti-microbial and glucocorticoids was risk motivation .The main clinical appearance and the main changes in pulmonary imageology, of the patients, wash＇ t specific. They had good curative effect who had been early diadnosed and treated Conclus with antifungal. Conclusions The patient was liable to pneumomycosis if he had suffered pulmonary tuberculosis. In the process of diagnose and therapy with pulmonary tuberculosis complicated with pneumomycosis, we should practice properly antituberculotic chemiotherapy and anti-inflammation chemiotherapy, we should practice properly glucocorticoids too.