| 慢性阻塞性肺疾病急性加重期肺部真菌感染的临床分析 |
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| 引用本文： | 林英翔,王辰,张鸿,童朝晖,张洪玉.慢性阻塞性肺疾病急性加重期肺部真菌感染的临床分析[J].中国现代医学杂志,2005,15(23):3641-3642. |
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| 作者姓名： | 林英翔 王辰 张鸿 童朝晖 张洪玉 |
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| 作者单位： | 首都医科大学附属北京朝阳医院,北京呼吸疾病研究所,北京,100020 |
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| 摘 要： | 目的探讨慢性阻塞性肺疾病（chronic obstuctur pulmonary disease，COPD）急性加重期肺部真菌感染的临床特点及其相关因素。方法分析该院收治的慢性阻塞性肺疾病患者中发生医院内肺部真菌感染的临床资料。结果慢性阻塞性肺疾病急性加重期肺部真菌感染的临床表现无特异性，X线表现以支气管肺炎为主；病原菌以白色念珠菌为主；高龄、营养不良、机械通气、广谱抗生素和激素的应用是导致真菌感染的主要因素。结论肺部真菌感染缺乏特异性；减少易患因素，及时、合理应用抗真菌药物能够有效治疗真菌感染。
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| 关 键 词： | 肺疾病 阻塞性 真菌 治疗 |
| 文章编号： | 1005-8982（2005）23-3641-02 |
| 收稿时间： | 2005-08-21 |
| 修稿时间： | 2005-08-21 |
Clinical analysis of lung fungal infection in patients with chronic obstructive pulmonary disease |
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| LIN Ying-xiang,WANG Chen,ZHANG Hong,TONG Zhao-hui,ZHANG Hong-yu.Clinical analysis of lung fungal infection in patients with chronic obstructive pulmonary disease[J].China Journal of Modern Medicine,2005,15(23):3641-3642. |
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| Authors: | LIN Ying-xiang WANG Chen ZHANG Hong TONG Zhao-hui ZHANG Hong-yu |
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| Institution: | Beijing Institute of Respirutory Medicine, Beijing Chaoyang Hospital-affiliated of Capital University of Medical Sciences, Beijing 100020, P.R.China |
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| Abstract: | Objective] To study the clinical features and therapeutic outcome of pulmonary fungal infection(PFI)in patients with COPD. Methods] 62 COPD cases with PFI were retrospectively analysed. Results] The clinical manifestation of PFI was not specific in COPD patients, reontgenographic features showed mainly bronchitis type. Candida albicans is the main pathogenic bacteria. Malnutrition, mechanical ventilation, using antibiotics and steroid are the important causes leading to PFI. Conclusion] The clinical features of PFI is non-specific, decreasing dangerous factors and rational utilization of antifungal medicine are the effective ways to treat PEI. |
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| Keywords: | obstructive pulmonary disease fungal infection clinical analysis |
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