慢性阻塞性肺疾病患者继发肺部真菌感染50例临床分析

Chronicity blocking lung disease patient to continue sends the lungs fungus to infect 50 examples clinically to analyze

目的：探讨慢性阻塞性肺疾病（COPD）继发真菌感染的诱因，临床特点及应对策略。方法：诊断为COPD继发肺部真菌感染患者50例，对其使用抗生素，激素情况及年龄，病程及影像学资料进行分析。结果：50例COPD患者多见于老年人，与患者的原发病，长期使用抗生素、糖皮质激素、营养状况差、反复住院及有创的检查等有关。结论：真菌感染多见，临床医师必须提高警惕，在选择抗生素要针对性强、抗菌谱窄、减少真菌感染的机会。

Objective：Discussion chronicity blocking lung disease （COPD） continues sends the fungus infection the cause, the clin- ical characteristic and should fo the .strategy. Methods： The diagnosis is COPD continues sends the lungs fungus to infect the patient 50 examples, to its use antibiotic, the hormone situation and the age, the course of an illness and the phantom study material carries on the analysis. Results：50 example COPD patient sees in the senior citizen, with patient＇s the primary affection, the long--term use antibiotic,the sugar eortical hormone,the nutrition condition difference,is hospitalized repeatedly the inspection which and has creates and so on related. Conclusion the fungus infection sees, clinician must enhance vigilance, wants strong, the antibacterial spectrum pointed in the choice antibiotic narrow,the reduced fungus infection opportunity.