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目的对2006年1月～2006年10月 ICU 病房深部真菌感染的患者进行回顾性分析。方法 14例ICU 病房深部真菌感染患者平均年龄62.3岁,感染部位以下呼吸道为多,占72.4%;真菌感染以白色念珠菌居多,占37.9%;所有患者均使用过抗菌素,而且多为联合应用,14例患者均行侵入性操作。结果通过对 ICU 病房深部真菌感染的临床特点分析,为 ICU 病房深部真菌感染的防治提供方法。结论 ICU 病房深部感染主要危险因素是不合理使用抗菌素,并且存在一定的诱发因素,临床医生应重视早期病原学检查,根据细菌培养及药敏试验结果合理选用抗菌素,同时应重视消除诱发因素,进行早期诊断和治疗。
Objective To retrospectively analyze the patients with deep fungal infection in ICU ward from January 2006 to October 2006. Methods The average age of 14 patients with ICU ward deep fungal infection was 62.3 years old, and the respiratory tract was more than 72.4% under the infection site. The majority of fungal infections were Candida albicans, accounting for 37.9%. All the patients were treated with antibiotics and were mostly used in combination. All 14 patients underwent invasive procedures. Results The clinical features of deep fungal infection in ICU ward were analyzed to provide a method for prevention and treatment of deep fungal infection in ICU ward. Conclusion The main risk factors of ICU ward infection are unreasonable use of antibiotics, and there are some evoked factors. Clinicians should pay attention to early etiological examination, select appropriate antibiotics according to bacterial culture and drug susceptibility test results, Early diagnosis and treatment.