老年患者侵袭性肺部真菌感染的高危因素分析

目的 分析老年患者侵袭性肺部真菌感染的高危因素及防治措施.方法 对76例侵袭性肺部真菌感染的老年患者的临床资料进行回顾性分析.结果 76例老年患者平均年龄72.4岁,共分离真菌117株,其中念珠菌属占94.8%;均有基础疾病重、长期应用广谱抗生素、大剂量使用激素、机械通气和使用各种有创导管等高危因素;早期、足量药物治疗效果良好.结论 重视消除或避免侵袭性肺部真菌感染的高危因素,采取积极有效的防治措施,有助于降低临床病死率.

High risk factors for invasive pulmonary fungal infections in 76 senile patients

Objective To analyze the high risk factors,the methods of prevention and treatment of invasive pulmonary fungal infections.Methods The clinical data of the 76 senile patients with invasive pulmonary fungal infections was retrospectively analyzed.Results All patients were 72.4 years old on average.117 strains of fungi were isolated from the 76 senile patients.Candidiasis accounted for 94.8%.The hish risk factors of invasive pulmonary fungal infections included the severity of basic diseases,long-term use of broad-spectrum antibiotics,long-time hormone,mechanical ventilation and various traumatic intubations.Early diagnosis and early therapy were effective.Conclusion It is important to avoid and eliminate the high risk factors for invasive pulmonary fungal infections and to take various effective methods of prevention and treatment.That can reduce the clinical mortality obviously.