CAJ | 학술논문

目的：探讨重型肝炎患者并肺部真菌感染的易感因素及防治措施．方法：选取重型肝炎并肺部真菌感染患者48例作为观察组，重型肝炎无肺部真菌感染患者70例作为对照组，对两组糖皮质激素、抗生素和侵袭性操作应用情况进行观察．结果：观察组糖皮质激素、抗生素和侵袭性操作比例分别为52．08％、79．17％和81．25％，均显著高于对照组的8．57％、35．71％和38．57％，两组比较，差异有统计学意义（P＜0．05）．结论：重型肝炎患者易并发肺部真菌感染，主要与应用糖皮质激素、抗生素和侵袭性操作等有关．临床中应对重型肝炎患者采取积极的防御措施，以预防和减少肺部真菌感染的发生．
목적：탐토중형간염환자병폐부진균감염적역감인소급방치조시．방법：선취중형간염병폐부진균감염환자48례작위관찰조，중형간염무폐부진균감염환자70례작위대조조，대량조당피질격소、항생소화침습성조작응용정황진행관찰．결과：관찰조당피질격소、항생소화침습성조작비례분별위52．08％、79．17％화81．25％，균현저고우대조조적8．57％、35．71％화38．57％，량조비교，차이유통계학의의（P＜0．05）．결론：중형간염환자역병발폐부진균감염，주요여응용당피질격소、항생소화침습성조작등유관．림상중응대중형간염환자채취적겁적방어조시，이예방화감소폐부진균감염적발생．
AIM: To investigate the predisposing factors and preventive measures of the patients with severe hepatitis and pulmonary fungal infection. METHODS:A total of 48 cases with severe hepatitis patients and pulmonary fungal infection were selected as the observation group, and 70 cases severe hepatitis patients without pulmonary fungal infection were selected as the control group. The sugar cortical hormone, antibiotics and invasive operation application of two groups were observed. RESULTS:The sugar cortical hormone, antibiotics and invasion operation proportion in observation group were 52. 08%, 79. 17% and 81.25%, respectively, which were significantly higher than those in the control group ( 8. 57%, 35. 71% and 38. 57%) , and the difference was statistically significant ( P<0. 05 ) . CONCLU?SION: The pulmonary fungal infection and severe hepatitis were mainly related with the application of sugar cortical hormone, antibiotics and invasive operation. The clinical aggressive defensive measures should be applied to severe hepatitis patients, in order to prevent and reduce the incidence of pulmonary fungal infection.