肺部真菌感染64例临床分析及护理对策

Clinical Analysis of 64 Patients with Pulmonary Fungal Infection and the Nursing Countermeasures

目的:探讨肺部真菌感染的发病因素、特点。方法:回顾分析2015年1-9月本院住院的64例肺部真菌感染患者的临床资料。结果:肺部真菌感染多见于老年人且多有器质性疾病;大多有用抗菌素史、糖皮质激素史及化疗、放疗史;症状以发热,咳嗽、咳痰为主,大多患者可闻及湿啰音;X线片表现以肺叶、肺段、小叶的肺实变为主,白细胞计数大多高于正常;原发性真菌感染少见且多为肺曲菌继发。结论:肺部真菌感染的发病原因有多种,加强护理对患者的预后具有重要意义。

Objective： To investigate the pathogenic factors and characteristics of fungal pneumonia. Method： From January to September 2015, 64 cases clinical data of pulmonary fungal infection in our hospital were selected and analyzed.Result： Pulmonary fungal infection saw more at old people and there were many organic disease.Most of them history of antibiotic, glucocorticoid, chemotherapy and radiotherapy.Most symptoms were fever, cough, and expectoration, we could hear moist tales in most patients.We could see the manifestations of pulmonary in lung, pulmonary segmental and lobular parenchymal lung disease in X-ray, white blood cell count was mostly higher than normal.Primary fungi infection was rare and most were pulmonary aspergillosis.Condusion： There are many reasons for the pathogenesis of pulmonary fungal infection, and strengthen the nursing care is very important for the prognosis of patients.