探究老年患者肺部真菌感染的临床特征

目的探讨呼吸内科老年肺部真菌感染发病的临床特征、治疗和预后。方法应用回顾性的方法对21例老年肺部真菌感染患者进行分析。结果均有基础疾病,尤其慢性阻塞性肺疾病(COPD)合并脑血管疾病卧床、低蛋白血症、糖尿病患者多见。肺部真菌感染的临床表现无特异性,多为咳嗽无痰,X线表现无特异性,病原菌主要以酵母菌属为主(占90.47%),存在曲霉菌感染。结论肺部真菌感染在老年患者中发生率呈增高趋势,临床特异性少易于漏诊,及早行气管镜检查进行病原学测定对改善预后有重要意义,及时抗真菌治疗是必要的。

Study of Clinical Characteristics of Pulmonary Fungal Infection in Aged Patients

Objective To investigate the incidence of pulmonary fungal infection in the elderly patients clinical characteristics,treatment and prognosis.Method Retrospective method on 21 cases of senile pulmonary fungal infection were analyzed.Results Have basic diseases,particularly chronic obstructive pulmonary disease（COPD） combined with cerebral vascular disease in patients with diabetes mellitus,hypoalbuminemia,see more.Pulmonary fungal infection in the clinical presentation is nonspecific,much as cough without phlegm,radiographic findings are non-specific,pathogen mainly yeasts of the genus mainly（90.47%）,presence of Aspergillus infection.Conclusions Pulmonary fungal infection in elderly patients present a trend of increasing incidence,clinical specificity less easy to misdiagnosis,early bronchoscopy for pathogenic determination to improve the prognosis,prompt antifungal therapy is necessary.