肺结核病继发真菌感染69例临床分析

目的 探讨肺结核合并真菌感染的临床特点，以提高对两病并存的临床表现的认识和合理处理。方法 回顾近5年来我科收治的3811例肺结核合并69例肺部真菌感染的资料，并进行分析。结果 合并肺部真菌感染的肺结核主要特点：结核病史长，年龄偏大；以浸润型和慢性纤维空洞型肺结核为主；肺部病变广泛，空洞多，病情较重；多有继发真菌感染的诱因可寻；确诊有赖于病原学检查。结论 肺结核合并肺部真菌感染有增多趋势，了解其临床特点可提高对两病并存的认识。

Pulmonary Tuberculosis Complicated by Fungi Infection:A Clinical Analysis on 69 Cases

OBJECTIVE To study the clinical features of pulmonary tuberculosis complicated by fungi infection, in order to improve the recognition and treatment on the coexistence of these two diseases. METHODS The 69 cases of pulmonary tuberculosis complicated by fungi infection in our department in recent 5 years were reviewed and analyzed. RESULTS The major clinical features of pulmonary tuberculosis complicated by fungi infection were as follows: they had long history of tuberculosis, usually occurred in older patients and the patients with infiltrative pulmonary tuberculosis or chronic fibrocavitative pulmonary tuberculosis. They had extensive range of lesions and many cavities in lungs. Most of them had the evident causes of fungus infection. Their diagnoses depend on the examination of pathogenic organisms. CONCLUSIONS The number of patients with pulmonary tuberculosis complicated by fungi infection is increasing. Understanding of the clinical feature can improve the recognition on the complicated infection of the two diseases.