| 开胸术后并发深部真菌感染的防治 |
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| 引用本文： | 倪斌,马海涛,秦涌,何靖康,宋心雨,李畅.开胸术后并发深部真菌感染的防治[J].中华医院感染学杂志,2008,18(12). |
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| 作者姓名： | 倪斌 马海涛 秦涌 何靖康 宋心雨 李畅 |
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| 作者单位： | 苏州大学附属第一医院心胸外科,江苏,苏州,215006 |
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| 摘 要： | 目的 总结开胸术后深部真菌感染的防治经验.方法 加强对开胸术后患者深部真菌感染的预防.密切观察术后病情变化,对存在深部真菌感染危险性因素的患者,在有可疑的临床表现出现时,及时并密切追踪检查并早期经验性用药.结果 38例开胸患者术后并发深部真菌感染,其中白色假丝酵母菌26例占68.42%,热带假丝酵母菌6例占15.79%,光滑假丝酵母菌2例占5.26%.曲霉菌属2例占5.26%.隐球酵母菌属1例占2.63%,酵母菌属1例占2.63%,33例痊愈,5例死亡,死亡率13.16%.结论 加强对开胸术后患者真菌感染的预防、早期诊断和早期经验性用药是防治深部真菌感染并改善患者预后的重要措施.
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| 关 键 词： | 深部真菌 医院感染 开胸术后 抗真菌药物 |
Deep Fungal Infection after Thoracotomy:Its Prevention and Treatment |
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| NI Bin,MA Hai-tao,QIN Yong,HE Jing-kang,SONG Xin-yu,LI Chang.Deep Fungal Infection after Thoracotomy:Its Prevention and Treatment[J].Chinese Journal of Nosocomiology,2008,18(12). |
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| Authors: | NI Bin MA Hai-tao QIN Yong HE Jing-kang SONG Xin-yu LI Chang |
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| Institution: | NI Bin,MA Hai-tao,QIN Yong,HE Jing-kang,SONG Xin-yu,LI Chang(The First Affiliated Hospital,Soozhow University,Suzhou,Jiangsu 215006,China) |
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| Abstract: | OBJECTIVE To summarize the experience of prevention and treatment of the deep fungal infection after thoracotomy.METHODS To enhance the prevention of the deep fungal infection after thoracotomy.To watch out for the change of postthoracotomy symptom,when doubtful clinical symptom appeared in the susceptible sufferersand to track the result of culture and adopt early experiential antifungal medication to treat.RESULTS Out of 38 patients 33 were cured,5 were died(13.16%).CONCLUSIONS To enhance the prevention o... |
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| Keywords: | Deep fungus Hospital acquired infection Postthoracotomy Antifungal drugs |
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