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目的探讨慢性肺心病患者合并肺部真菌感染的病因、病原学特点以及预防和治疗。方法分析佳木斯大学附属第一医院76例慢性肺心病患者真菌感染的临床资料、病原学检查、药敏结果及治疗效果。结果高龄、伴有合并症、抗生素和激素的不合理应用,易导致真菌感染;以白色念珠菌感染为主,对氟康唑和伊曲康唑耐药率较高。结论合理用药等因素能够预防真菌感染的发生。
Objective To investigate the etiology, etiology and prevention and treatment of pulmonary fungal infection in patients with chronic cor pulmonale. Methods The clinical data, pathogenic tests, drug susceptibility results and therapeutic effects of fungal infections in 76 patients with chronic pulmonary heart disease in the First Affiliated Hospital of Jiamusi University were analyzed. Results elderly, associated with complications, antibiotics and hormones unreasonable applications, easily lead to fungal infections; Candida albicans infection, fluconazole and itraconazole resistant rate higher. Conclusion The rational use of drugs and other factors can prevent the occurrence of fungal infections.