老年肺部真菌感染62例临床分析

目的探讨老年肺部真菌感染的临床特点、真菌感染的类型、危险因素及预后。方法对2006年1月-2008年7月我院老年科共62例老年肺部真菌感染住院患者进行回顾性分析。结果本组患者均有基础疾病，其中以慢性阻塞性肺痰病（COPD）、晚期肿瘤、糖尿病为多见，原发性肺部真菌感染少见。病原菌主要以酵母菌属为主（98．39％）。结论肺部真菌感染的临床表现无特异性，基础疾病继发感染是肺部真菌感染的重要原因，长期使用广谱抗生素、肾上腺糖皮质激素、低蛋白血症、糖尿病等是其常见的危险因素，其发病呈上升趋势，病死率高，应引起临床高度重视。

Clinical analysis of 62 cases of pulmonary fungal infection in the elderly patients.

Objective To find out the clinical features, types of fungal infection, risk factors and prognosis of pulmonary fungal infection in the elderly patients. Methods 62 cases with puhuonary fungal infection from Jan 2006 to Jul 2008 in the central hospital of mianyang were retrospectively analyzed.Re,tilts Various predisposing diseases were found in all the cases,and COPD,diabetes and tumor were main predisposing diseases among them. Primary pulmonary fungal infection was rare. All the clinical manifestations of pulmonary fungal infection were not specific, blastocystis are showed mainly pathogenic mycetes type（98.39 % ） and monilina albicans was ranked the first pathogen（90.32 % ）. The mortality was high. Conclusion Pulmonary fungal infection is an important cause of the secondary infection in many diseases, long-term use of antibiotics or glucocortieoid hormone, hypoproteinemia and diabetes may be frequent risk factors. The morbidity is rising. Clinicians should pay more attention to it.