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目的:分析慢性阻塞性肺疾病(COPD)合并肺部真菌感染临床特点,探讨防治方法。方法:回顾性分析16例COPD合并肺部真菌感染的病例。结果:16例患者中治愈和好转11例(68.75%),无效5例(31.25%),其中病情恶化自动出院3例,死亡2例。结论:COPD合并肺部真菌感染无特征性临床表现,诊断困难,病死率高,其发生与广谱抗生素的使用、糖皮质激素的应用、各种侵入性操作、并发症等密切相关。及早预防及诊治,可避免继发肺部真菌感染和改善预后。
Objective: To analyze the clinical characteristics of chronic obstructive pulmonary disease (COPD) complicated with pulmonary fungal infection and to explore the prevention and treatment methods. Methods: A retrospective analysis of 16 cases of COPD with pulmonary fungal infection. Results: Among the 16 patients, 11 cases (68.75%) were cured and improved, 5 cases (31.25%) were ineffective. Among them, 3 cases were discharged automatically and 2 died. Conclusion: There is no characteristic clinical manifestations of COPD with pulmonary fungal infection, diagnosis is difficult and the mortality rate is high. The occurrence of COPD is closely related to the use of broad-spectrum antibiotics, glucocorticoid application, various invasive procedures and complications. Early prevention and treatment, to prevent secondary pulmonary fungal infection and improve prognosis.