COPD继发肺部真菌感染临床分析

Clinical analysis of secondary pulmonary fungus infection in 62 cases of chronic obstructive pulmonary disease

目的探讨慢性阻塞性肺疾病(COPD)患者肺部感染真菌的种类、易患因素、治疗。方法对62例并发肺部真菌感染的患者进行分析。结果长期的疾病导致机体免疫力下降;长期应用广谱抗生素和激素;侵入性操作等使COPD患者并发肺部真菌感染的几率增加。综合治疗、合理用药是控制真菌感染的有效方法。结论近年来真菌感染成为肺部疾病严重的并发症,其临床表现缺乏特异性,应引起实验室和临床医生的高度重视。

Objective To discuss the varieties of fungi,susceptibility and the treatment of secondary pulmonary fungus infection inchronic obstructive pulmonary disease（COPD）.Methods To retrospectively analyze the 62 ufferers with intercurrent pulmonary ngusinfection.Results Long-term suffering resulted in the drop of body immunity.Taking the broad-spectrum ntibiotics and hormone for long time,invasive manipulation led to gradual increase of probability of suffering ntercurrent pulmonary fungus infection in COPD.Omprehensive treatment,reasonable drug use are the effective method for controlling fungus infection.Conclusion In recent years fungus infection becomes the serious complications of lung disease.The clinical epresentation is lack of particularity.This disease must be attached much importance by the laboratories and clinicians.