| 127例肺部真菌感染的临床分析 |
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| 引用本文： | 钱小顺,朱元珏,许文兵.127例肺部真菌感染的临床分析[J].中华结核和呼吸杂志,2000,23(7):417-419. |
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| 作者姓名： | 钱小顺 朱元珏 许文兵 |
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| 作者单位： | 中国医学科学院中国协和医科大学北京协和医院呼吸内科(钱小顺!100730，朱元珏!100730，许文兵!100730)，中国医学科学院中国协和医科大学北京协和医院检验科(徐英春!100730) |
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| 摘 要： | 目的 探讨肺部真菌感染发病的易患因素、临床特征、治疗和预后。方法 应用回顾性调查的方法对１２７例肺部真菌感染患者进行分析。结果 ９５％（１２０／１２７）的病例患有基础疾病。其中以慢性阻塞性肺疾病（ＣＯＰＤ）、系统性红斑狼疮、白血病和慢性肾病为多见。肿瘤性疾病也占有重要位置，原发性肺部真菌感染少见。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多见（６１％），病原菌主要以酵母菌属为主（７９．５
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| 关 键 词： | 肺部真菌感染 诊断 临床特征 治疗 预后 |
| 修稿时间： | 1999-12-02 |
127 cases of pulmonary fungal infection |
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| QIAN Xiaoshun.127 cases of pulmonary fungal infection[J].Chinese Journal of Tuberculosis and Respiratory Diseases,2000,23(7):417-419. |
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| Authors: | QIAN Xiaoshun |
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| Institution: | Department of Respiratory Disease, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China. |
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| Abstract: | Objective To find out the clinical features, therapeutic outcome,prognosis and the major predisposing diseases of pulmonary fungal infection(PFI). Method 127 cases with PFI were retrospectively analyzed. Results Various predisposing diseases were found in 95% of total cases, among them, COPD,systemic lupus erythromatus(SLE),leukemia and chronic renal disease were main predisposing diseases. Primary pulmonary fungal infection was rare. All the clinical manifestations of PFI were not specific, reontgenographic features showed mainly bronchitis type(61%). Monilia (Candida) was ranked the first pathogen (79 5%). The mortality of PIF was high. Chronic renal and hematological diseases might be the risk factors for mortality (RR, relative rate, 5 14). Conclusions PFI is an important cause of the secondary infection in many diseases. The clinical features of PFI is non specific and the morbidity is rising. Clinicians should pay more attention to it |
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| Keywords: | Lung Fungal infection Clinical analysis |
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