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目的探讨慢性阻塞性肺疾病(COPD)合并侵袭性肺部真菌感染(IPFI)的临床特点和防治方案。方法对12例COPD合并IPFI病例进行回顾性分析。结果COPD合并IPFI与患者年龄、并发症、长期住院、广谱抗生素和糖皮质激素的应用、各种侵入性操作等有密切关系。结论合理使用抗生素和糖皮质激素,减少不必要的侵入性操作,尽快脱机,加强营养支持,可提高诊断率,及时治疗,改善预后。
Objective To investigate the clinical characteristics and prevention and treatment of chronic obstructive pulmonary disease (COPD) complicated with invasive pulmonary fungal infection (IPFI). Methods Retrospective analysis of 12 cases of COPD with IPFI. Results COPD with IPFI was closely related to patient’s age, complications, long-term hospitalization, application of broad-spectrum antibiotics and glucocorticoid, and various invasive procedures. Conclusion The rational use of antibiotics and glucocorticoids, reduce unnecessary invasive operation, as soon as possible offline, to enhance nutritional support, can improve the diagnostic rate, timely treatment, improve prognosis.