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目的探讨慢性阻塞性肺疾病(COPD)继发真菌感染的病原菌分布。方法回顾性分析2010年1月～2012年1月间14例COPD患者继发肺部真菌感染的情况。结果 14例COPD继发真菌感染的患者送检标本中共检测出白色念珠菌5例(35.7%),酵母样真菌3例(21.4%),光滑念珠菌2例(14.3%),克柔念珠菌1例(7.1%),热带念珠菌1例(7.1%),曲霉菌1例(7.1%),毛霉菌1例(7.1%)。结论 COPD患者继发肺部真菌感染多为白色念珠菌感染。做好有效的预防措施才能降低慢性阻塞性肺疾病患者继发肺部真菌感染发生。
Objective To investigate the distribution of pathogenic bacteria in secondary fungal infections in patients with chronic obstructive pulmonary disease (COPD). Methods A retrospective analysis of 14 cases of COPD patients with pulmonary fungal infection from January 2010 to January 2012 was performed. Results Candida albicans was detected in 5 (35.7%), 3 (21.4%) yeast-like fungi, 2 (14.3%) Candida glabrata, Candida krusei 1 case (7.1%), 1 case of Candida tropicalis (7.1%), 1 case of Aspergillus (7.1%) and 1 case of Mucor (7.1%). Conclusions Secondary pulmonary fungal infections in COPD patients are mostly Candida albicans infection. Effective preventive measures can reduce the secondary pulmonary fungal infection in patients with chronic obstructive pulmonary disease.