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经纤维支气管镜防污染毛刷采样诊断肺部念珠菌感染58例分析
引用本文:郏容增,张国俊.经纤维支气管镜防污染毛刷采样诊断肺部念珠菌感染58例分析[J].中国内镜杂志,2005,11(11):1175-1177.
作者姓名:郏容增  张国俊
作者单位:1. 河南鹤壁煤业集团总医院,呼吸内科,河南,鹤壁,458000
2. 郑州大学第一附属医院呼吸内科,河南,郑州,450052
摘    要:目的探讨肺部念珠菌感染的易患因素及临床特点。方法经纤维支气管镜防污染毛刷对135例可疑肺部真菌感染患者的病变部位采样,将采集的分泌物进行真菌培养和涂片检查,对肺部念珠菌感染病例进行分析。结果采样135例未发生严重并发症,诊断肺部念珠菌感染58例。58例均有基础疾病和感染诱因。病原菌以白色念珠菌属为主(68.97%),病死率为20.69%。结论肺部念珠菌感染的易惠因素逐渐增多。发病呈上升趋势,病死率高,早期诊治是关键。

关 键 词:  念珠菌属  纤维支气管镜检查
文章编号:1007-1989(2005)11-1175-03
收稿时间:2005-03-17
修稿时间:2005年3月17日

58 cases of pulmonary candida infection diagnosed by fibrobronchoscopy with protected specimen brush
JIA Rong-zeng,ZHANG Guo-jun.58 cases of pulmonary candida infection diagnosed by fibrobronchoscopy with protected specimen brush[J].China Journal of Endoscopy,2005,11(11):1175-1177.
Authors:JIA Rong-zeng  ZHANG Guo-jun
Affiliation:1. Department of Respiratory, Hebi Coal Group General Hospital, Hebi, Henan 458000, P.R.China; 2. Department of Respiratory, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R.China
Abstract:Objective] To find out the predisposing factors and the clinical features of pulmonary candida infection (PCI). Methods] Fungi in samples obtained by fibrobronchoscopy with protected specimen brush from 135 patients with pulmonary infection were cultured and isotaled. The cases of PCI were analyzed. Results] There was no severe complication during the sampling. Among 135 cases, 58 cases had PCI. Various predisposing factors were found in total PCI and the mortality was 20.69%. Candida albicans was ranked the first pathogen (68.97%). Conclusion] The predisposing factors and the morbidity of PCI is rising. The mortality is high and the early diagnosis and treatment is the key.
Keywords:lung  candida  fibrobronchoscopy
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