医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
7期
1-1,2
,共2页
糖尿病%肺部%真菌感染%临床分析
糖尿病%肺部%真菌感染%臨床分析
당뇨병%폐부%진균감염%림상분석
diabetes%lung%fungal infection%clinical analysis
目的：探讨糖尿病合并肺部真菌感染的临床特点、危险因素、病原菌类型、药敏及预后。方法对2011年1月至2013年12月绵阳市中心医院内分泌科31例糖尿病合并肺部真菌感染住院病例进行回顾性分析。结果该组病例均为2型糖尿病患者，高龄患者居多，平均年龄77．4岁，糖尿病病程长，10年以上占67．74％，血糖控制差，糖化血红蛋白（HbA1c）10．8±1．9％，90％以上存在不同程度的低蛋白血症，尿蛋白显著增加。病原菌以酵母菌属为主，耐药率高。结论糖尿病合并肺部真菌感染的临床表现无特异性，患者对糖尿病认识不足、治疗不正规所致高血糖和低蛋白血症是发生肺部真菌感染的重要危险因素。其发病呈上升趋势，且耐药率高，病死率高，应引起临床高度重视，重在预防。
目的：探討糖尿病閤併肺部真菌感染的臨床特點、危險因素、病原菌類型、藥敏及預後。方法對2011年1月至2013年12月綿暘市中心醫院內分泌科31例糖尿病閤併肺部真菌感染住院病例進行迴顧性分析。結果該組病例均為2型糖尿病患者，高齡患者居多，平均年齡77．4歲，糖尿病病程長，10年以上佔67．74％，血糖控製差，糖化血紅蛋白（HbA1c）10．8±1．9％，90％以上存在不同程度的低蛋白血癥，尿蛋白顯著增加。病原菌以酵母菌屬為主，耐藥率高。結論糖尿病閤併肺部真菌感染的臨床錶現無特異性，患者對糖尿病認識不足、治療不正規所緻高血糖和低蛋白血癥是髮生肺部真菌感染的重要危險因素。其髮病呈上升趨勢，且耐藥率高，病死率高，應引起臨床高度重視，重在預防。
목적：탐토당뇨병합병폐부진균감염적림상특점、위험인소、병원균류형、약민급예후。방법대2011년1월지2013년12월면양시중심의원내분비과31례당뇨병합병폐부진균감염주원병례진행회고성분석。결과해조병례균위2형당뇨병환자，고령환자거다，평균년령77．4세，당뇨병병정장，10년이상점67．74％，혈당공제차，당화혈홍단백（HbA1c）10．8±1．9％，90％이상존재불동정도적저단백혈증，뇨단백현저증가。병원균이효모균속위주，내약솔고。결론당뇨병합병폐부진균감염적림상표현무특이성，환자대당뇨병인식불족、치료불정규소치고혈당화저단백혈증시발생폐부진균감염적중요위험인소。기발병정상승추세，차내약솔고，병사솔고，응인기림상고도중시，중재예방。
Objective To find out the clinical features ,risk factors,types of fungal infection,susceptibility and prognosis of diabetic patients with pulmonary fungal infection.Methods 31cases of diabetic patients with pulmonary fungal infection from Jan 2011 to Dec 2013 in the Central Hospital of Mianyang were retrospectively analyzed.Results This group of cases were inpatientswith type 2 diabetes,mostly in the elderly patients whith the average age of 77.4 years and long duration of diabetes(above 10 years accounted for 67.74%).All of them had poor blood sugarcontrol,HbA1c 10.8 ±1.9%.More than 90% of them had different degree of hypoalbuminemia,and urine protein increased significantly.Blastocystis were showed mainly pathogenic mycetestype whith high clinical resistance.Conclusion All the clinical manifestations of diabetic patients with pulmonary fungal infection were not specific.High blood sugar and hypoalbuminemia caused by lack of understanding of diabetes and informal treatment were important risk factors for pulmonary fungus infection.The morbidity is rising whith high resistance and high fatality rate.Clini-cians should pay more attention to it,especially prevention.
