CAJ | 학술논문

目的：探讨老年患者肺部真菌感染的临床因素及其临床特点。方法选自2012年1月至2013年1月进入到我院进行治疗的肺部真菌感染患者90例，对这90例患者的临床病例进行分析和研究，总结老年患者肺部真菌感染的临床因素及其特点。结果患者肺部基础疾病情况，肺间质纤维化有14例患者，占临床总人数15.6%，支气管扩张35例，占临床总人数的38.9%。肺炎51例，占临床总人数的56.7%。恶性肿瘤22例，占临床总人数的24.5%。90例老年患者肺部真菌类型，白假丝酵母81例，占临床总人数的90%，光滑假丝酵母4例，占临床总人数的4.4%。近平滑念珠菌5例，占临床总人数的5.6%。90例老年患者肺部真菌临床特点，有34例患者痰量增多，占临床总人数的37.8%，51例患者出现发热的情况，占临床总人数的56.7%。34例患者出现了痰中带血的情况，占临床总人数的37.8%。43例患者舌表面出现白色斑点，占临床总人数的47.8%。15例患者白细胞增多，占临床总人数的16.7%。61例患者出现了无色透明的/拉丝样痰，占临床总人数的67.8%。针对于90例患者肺部真菌感染情况进行治疗，显效31例，占临床总人数的34.4%。有效52例，占临床总人数的57.8%，无效7例，占临床总人数的7.8%。临床治疗的总有效率为92.2%。结论白假丝酵母菌是老年患者院内肺部真菌感染的主要致病菌，需要针对于导致老年患者肺部真菌感染的因素，采取有效的治疗方法，才能够提高老年患者肺部真菌感染的治愈率。
목적：탐토노년환자폐부진균감염적림상인소급기림상특점。방법선자2012년1월지2013년1월진입도아원진행치료적폐부진균감염환자90례，대저90례환자적림상병례진행분석화연구，총결노년환자폐부진균감염적림상인소급기특점。결과환자폐부기출질병정황，폐간질섬유화유14례환자，점림상총인수15.6%，지기관확장35례，점림상총인수적38.9%。폐염51례，점림상총인수적56.7%。악성종류22례，점림상총인수적24.5%。90례노년환자폐부진균류형，백가사효모81례，점림상총인수적90%，광활가사효모4례，점림상총인수적4.4%。근평활념주균5례，점림상총인수적5.6%。90례노년환자폐부진균림상특점，유34례환자담량증다，점림상총인수적37.8%，51례환자출현발열적정황，점림상총인수적56.7%。34례환자출현료담중대혈적정황，점림상총인수적37.8%。43례환자설표면출현백색반점，점림상총인수적47.8%。15례환자백세포증다，점림상총인수적16.7%。61례환자출현료무색투명적/랍사양담，점림상총인수적67.8%。침대우90례환자폐부진균감염정황진행치료，현효31례，점림상총인수적34.4%。유효52례，점림상총인수적57.8%，무효7례，점림상총인수적7.8%。림상치료적총유효솔위92.2%。결론백가사효모균시노년환자원내폐부진균감염적주요치병균，수요침대우도치노년환자폐부진균감염적인소，채취유효적치료방법，재능구제고노년환자폐부진균감염적치유솔。
ObjectiveTo investigate the pulmonary fungal infection in elderly patients in clinical factors and clinical features.MethodsSelected from January 2012 to January 2013 into the hospital for treatment of 90 patients with pulmonary fungal infection, 90 patients in this clinical case analysis and research, summarized in elderly patients pulmonary fungal infections factors and their features.ResultsPatients lung disease situation foundation , pulmonary interstitial ifbrosis in 14 patients, accounting for 15.6 percent of the total number of clinical, bronchiectasis in 35 cases, accounting for 38.9% of the total number of clinical. Pneumonia in 51 cases, accounting for 56.7% of the total number of clinical. Malignancy in 22 cases, accounting for 24.5% of the total number of clinical. 90 cases of elderly patients with pulmonary fungal types, Candida albicans 81 cases, accounting for 90% of the total number of clinical, smooth Candida 4 cases, accounting for 4.4% of the total number of clinical. Parapsilosis 5 cases, accounting for 5.6% of the total number of clinical. 90 cases of pulmonary fungal clinical features of elderly patients, 34 patients with sputum volume, accounting for 37.8% of the total number of clinical, 51 patients with fever cases, accounting for 56.7% of the total number of clinical. 34 cases of patients had sputum cases, accounting for 37.8% of the total number of clinical. 43 patients lingual surface of white spots, accounting for 47.8% of the total number of clinical. Leukocytosis in 15 patients, accounting for 16.7% of the total number of clinical. 61 patients appeared colorless/brushed like sputum, accounting for 67.8% of the total number of clinical. In 90 patients for pulmonary fungal infection treatment, effective in 31 cases, accounting for 34.4% of the total number of clinical. Effective 52 cases, accounting for 57.8% of the total number of clinical, 7 cases, accounting for 7.8% of the total number of clinical. Clinical treatment, the total effective rate was 92.2%. ConclusionCandida albicans is a fungal infection in elderly patients with primary pulmonary nosocomial pathogens, the need for elderly patients in pulmonary fungal infection causes the factors to take effective treatment methods to be able to improve pulmonary fungal infections in elderly patients cure rate.