老年肺结核合并真菌感染临床分析

Clinic Analysis on Senior Patients of PTB Coninfected with Mold

目的探讨老年肺结核合并真菌感染的诊断与治疗。方法回顾分析老年肺结核合并肺部真菌感染49例的临床资料。结果多为复治者,病程既长又重,病变范围广泛,多有空洞,并有继发真菌感染诱因、抵抗力下降的老年人;在临床上常被原发病掩盖,易发生误诊,确诊有赖于病原学检查。全部病例抗结核及抗真菌治疗均有效。结论肺结核合并肺部真菌感染有增多趋势,了解其临床特点可提高对两病并存的诊治水平。

Objective To study the diagnosis and treatment of senior patients of PTB coninfected with mold.Methods Total 49 PTB cases coninfected with mold,diagnosed and treated,are retrospectively analysed.Results Most of the cases are the previous treated patients,have a longer treament course,and severe symptoms,cavities on the X-ray film,risk factors of secondary infection with mold.On clinic,these cases is inclined to misdiagnosis,and its diagnosis rely on the test of etiology.It is effective to treat with anti-TB and anti - mold. Conclusion The trend of PTB coninfected with mold is upwards and it＇ s helpful to the improvement of the diagnosis to learn its clinic characteristics.