肺结核并肺部真菌感染患者110例的临床分析

Clinical analysis of 110 cases of pulmonary tuberculosis complicated with pulmonary fungal infection

目的:探讨肺结核并肺部真菌感染患者的临床特征。方法:收治肺结核并肺部感染患者110例,回顾性分析临床资料。结果:肺结核并肺部真菌感染以老年患者和糖尿病者为主,真菌感染类型包括白色念珠菌、光滑念珠菌等。患者具有明显的咳嗽、咳痰、咯血现象。X线主要表现为斑片形状、不规则形状。结论:肺结核并肺部真菌感染率较高,患者多长期使用广谱抗生素,做好真菌感染预防工作具有重要意义。

Objective:To investigate the clinical characteristics of pulmonary tuberculosis complicated with pulmonary fungal infection.Methods:110patients with pulmonary tuberculosis complicated with pulmonary fungal infection were selected,and the clinical data were retrospectively analyzed.Results:Older patients and diabetic patients were major in patients with pulmonary tuberculosis complicated with pulmonary fungal infection,types of fungal infections included candida albicans and candida glabrata.Patients had obvious cough,expectoration,hemoptysis.The main manifestations of X-ray were patchy shape and irregular shape.Conclusion:The rate of pulmonary tuberculosis complicated with pulmonary fungal infection was higher.Most patients used broad-spectrum antibiotics for a long time.The prevention of fungal infection was of great significance.