咽喉部真菌感染治疗56例

Clinical analysis of 56 cases of throat fungal infection

目的探讨咽喉部真菌感染的病因及治疗。方法对咽喉部真菌感染患者56例,均行胸片、梅毒螺旋体抗体及HIV等相关项目、常规咽喉部、电子鼻咽喉镜的检查,对存在于咽喉部的黄色膜状物取病理活检及HE染色,确定菌落种类。5%碳酸氢钠溶液漱口及抗真菌药物漱口治愈咽喉部真菌感染,随访1~6个月。结果 56例咽喉部真菌感染得到控制,复查电子鼻咽喉镜黏膜恢复正常。结论应用广谱抗生素及激素引起的咽喉部真菌感染,可以使用5%碳酸氢钠漱口的方法得到治愈,方法经济、合理。

Objective To investigate the etiology and treatment of throat fungal infection. Methods A total of 56 patients with throat fungal infection were examined with chest radiography,treponema pallidum antibodies,HIV related projects,routine examination of the laryngopharyngeal area and conventional electronic nasopharyngoscope examination. To determine the colony types,the yellowmembrane in the throat was taken for pathological biopsy and HE staining. 5% sodium bicarbonate solution was used to gargle and antifungal drugs were administered. All patients were followed up for 1 to 6 months. Results All infections were controlled. Electronic nasopharyngoscope observed that mucosa returned to normal. Conclusion Throat fungal infection caused by overuse of broad-spectrum antibiotics and hormone can be cured with 5% sodium bicarbonate gargle. This method is affordable with reliable outcomes.