老年患者肺部真菌感染的临床分析

目的探讨老年患者肺部真菌感染的临床因素及其临床特点。方法选自2012年1月至2013年1月进入到我院进行治疗的肺部真菌感染患者90例,对这90例患者的临床病例进行分析和研究,总结老年患者肺部真菌感染的临床因素及其特点。结果患者肺部基础疾病情况,肺间质纤维化有14例患者,占临床总人数15.6%,支气管扩张35例,占临床总人数的38.9%。肺炎51例,占临床总人数的56.7%。恶性肿瘤22例,占临床总人数的24.5%。90例老年患者肺部真菌类型,白假丝酵母81例,占临床总人数的90%,光滑假丝酵母4例,占临床总人数的4.4%。近平滑念珠菌5例,占临床总人数的5.6%。90例老年患者肺部真菌临床特点,有34例患者痰量增多,占临床总人数的37.8%,51例患者出现发热的情况,占临床总人数的56.7%。34例患者出现了痰中带血的情况,占临床总人数的37.8%。43例患者舌表面出现白色斑点,占临床总人数的47.8%。15例患者白细胞增多,占临床总人数的16.7%。61例患者出现了无色透明的/拉丝样痰,占临床总人数的67.8%。针对于90例患者肺部真菌感染情况进行治疗,显效31例,占临床总人数的34.4%。有效52例,占临床总人数的57.8%,无效7例,占临床总人数的7.8%。临床治疗的总有效率为92.2%。结论白假丝酵母菌是老年患者院内肺部真菌感染的主要致病菌,需要针对于导致老年患者肺部真菌感染的因素,采取有效的治疗方法,才能够提高老年患者肺部真菌感染的治愈率。

Clinical Analysis of Elderly Patients with Pulmonary Fungal Infection

ObjectiveTo investigate the pulmonary fungal infection in elderly patients in clinical factors and clinical features.MethodsSelected from January 2012 to January 2013 into the hospital for treatment of 90 patients with pulmonary fungal infection, 90 patients in this clinical case analysis and research, summarized in elderly patients pulmonary fungal infections factors and their features.ResultsPatients lung disease situation foundation , pulmonary interstitial ifbrosis in 14 patients, accounting for 15.6 percent of the total number of clinical, bronchiectasis in 35 cases, accounting for 38.9% of the total number of clinical. Pneumonia in 51 cases, accounting for 56.7% of the total number of clinical. Malignancy in 22 cases, accounting for 24.5% of the total number of clinical. 90 cases of elderly patients with pulmonary fungal types, Candida albicans 81 cases, accounting for 90% of the total number of clinical, smooth Candida 4 cases, accounting for 4.4% of the total number of clinical. Parapsilosis 5 cases, accounting for 5.6% of the total number of clinical. 90 cases of pulmonary fungal clinical features of elderly patients, 34 patients with sputum volume, accounting for 37.8% of the total number of clinical, 51 patients with fever cases, accounting for 56.7% of the total number of clinical. 34 cases of patients had sputum cases, accounting for 37.8% of the total number of clinical. 43 patients lingual surface of white spots, accounting for 47.8% of the total number of clinical. Leukocytosis in 15 patients, accounting for 16.7% of the total number of clinical. 61 patients appeared colorless/brushed like sputum, accounting for 67.8% of the total number of clinical. In 90 patients for pulmonary fungal infection treatment, effective in 31 cases, accounting for 34.4% of the total number of clinical. Effective 52 cases, accounting for 57.8% of the total number of clinical, 7 cases, accounting for 7.8% of the total number of clinical. Clinical treatment, the total effective rate was 92.2%. ConclusionCandida albicans is a fungal infection in elderly patients with primary pulmonary nosocomial pathogens, the need for elderly patients in pulmonary fungal infection causes the factors to take effective treatment methods to be able to improve pulmonary fungal infections in elderly patients cure rate.