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目的研究老年人肺部真菌感染的发生及预后的相关因素。方法对2002～2004年在我院住院的老年人发生肺部真菌感染的病例,鉴定菌株,对危险因素等进行分析。结果肺部真菌感染以白色假丝酵母菌、白色念株菌为主;慢性支气管炎、COPD、糖尿病、脑血管疾病为老年人真菌感染高危因素;多种基础疾病,不合理应用抗生素为诱因,低蛋白血症者预后不良。结论有高危因素存在者应早期进行呼吸道分泌物检测及药敏监测,指导合理应用抗生素,切实降低老年人肺部真菌感染的病死率。
Objective To study the incidence and prognosis of pulmonary fungal infection in the elderly. Methods The cases of pulmonary fungal infection in elderly patients hospitalized in our hospital from 2002 to 2004 were identified, and the strains were identified and the risk factors were analyzed. Results Pulmonary fungal infections were mainly Candida albicans and Candida albicans. Chronic bronchitis, COPD, diabetes mellitus and cerebrovascular disease were the risk factors for fungal infection in the elderly. A variety of underlying diseases, unreasonable use of antibiotics as incentive, Hypoproteinemia is a poor prognosis. Conclusions In the presence of risk factors, early detection of respiratory secretions and drug susceptibility monitoring should be conducted to guide the rational use of antibiotics to effectively reduce the mortality of pulmonary fungal infections in the elderly.