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目的探讨慢性阻塞性肺疾病继发肺部真菌感染的临床治疗。方法回顾性分析我院呼吸科2003～2006年收治的32例患者的临床资料,从临床表现、病因、感染菌分析、治疗方法和结果等方面进行分析。结果32例慢性阻塞性肺疾病继发肺部真菌感染的患者,痊愈或好转24例,5例自动出院,3例死亡。结论确诊继发肺部真菌感染后应及时调整抗生素,加强支持治疗,尽早足量根据不同菌种选用抗真菌药物。
Objective To investigate the clinical treatment of pulmonary fungal infection secondary to chronic obstructive pulmonary disease. Methods The clinical data of 32 patients admitted to Department of Respiratory Medicine in our hospital from 2003 to 2006 were retrospectively analyzed. The clinical manifestations, etiological factors, infection bacterial analysis, treatment methods and results were analyzed. Results Twenty-two patients with pulmonary fungal infection secondary to COPD recovered or improved in 24 cases, 5 were discharged automatically and 3 died. Conclusion Confirmed secondary pulmonary fungal infection should be promptly adjusted antibiotics to enhance supportive care, as early as possible, according to different species selection antifungal agents.