肺部细菌并真菌感染误诊14例分析

通过对14例细菌并真菌双重感染误诊病例进行分析。主要是由于临床表现及胸部X线检查缺乏特异性造成的。为了预防误诊的发生,应及时进行痰涂片或痰细菌培养,必要时可行环甲膜穿刺或纤维支气管镜检查、活检、刷检、灌洗以求确诊。同时还应注意可能诱发真菌感染的机体因素和药物因素。

Misdiaghosis of 14 Cases of Bacterial Infection with Mycotic Infection of Lung

The authors analysed misdiagnosis of 14 cases of bacterial infection with my-cotic infection of lung. The main reason for misdiagnosis was that their clinical menifes-tations and X - ray examinations lacked specificity. To prevent misdiagnosis, sputum smear or sputum bacterial culture should be carried out in time; If necessary, thyrocrico-centesis, bronchofiberscope examination, biopsy, brush biopsy, lavation can be made to comfirm diagnosis. Meanwhile, we should pay attention to body and drug factors which induce mycotic infection.