耐多药肺结核继发肺部真菌感染51例临床分析

中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (12): 693-696.

耐多药肺结核继发肺部真菌感染51例临床分析

叶梦华¹；张忠顺²；杨妍²；刘轾彬²

1.湖北省黄石市第二医院肺科黄石 435002；2.同济大学附属上海肺科医院上海 200433

出版日期:2009-12-10 发布日期:2011-11-03

Clinical analysis of pulmonary fungous infection in 51 cases of mu 11 id rug- resist ant pulmonary TB( MDR-PTB)

Ye Mengh ua¹，Zhang Zhongshun², Yang Yan²， Liu Zhibin²

1. YE Menghua . Department of pneu mology，Second ly Peopie's Hospital of Huang shi, Hu Bei 435002,China ;2. Zhang Zhongshun , Yang Yan .Liu Zhibin . DepartmerU of pneumology , Tongji University A ffiliated Shanghai Pulmonary,ShangHai,200433,China

Online:2009-12-10 Published:2011-11-03

摘要/Abstract

摘要： 目的探讨耐多药肺结核继发肺部真菌感染的危险因素、临床特点及诊治方法，以提高对2病并存时临床表现的认识和综合处理的能力。方法回顾湖北黄石市二医院2002年以来收治的51例耐多药肺结核合并肺部真菌感染的病历资料，并进行分析。结果合并肺部真菌感染的耐多药肺结核均有明显易感因素，其临床特点：结核病史长；复治病例多；年龄偏大；肺部病变广泛，空洞多，病情较重；主要致病真菌为念珠菌。结论耐多药肺结核易继发肺部真菌感染，提高对2病并存的认识，有利于耐多药肺结核病的控制及降低死亡率。

关键词: 结核，肺/并发症, 结核，抗多种药物性/并发症, 肺疾病，真菌性

Abstract: Objective To study the risk factors,clinical characteristics and Methods of diagnosis and treatment of secondary fungal infection in MDR-PTB cases in order to improve the recognition and treatment of the coexistence of two diseases. Methods Fifty-one cases of MDR-PTB compli-cated with fungi infection in our department from 2002 were retrospectively analyzed. Results Fifty-one cases had susceptible factors of fungus infection. The major clinical features were as follows： they had a long history of tuberculosis； usually occurred in older patients；they had extensive range of lesions and many cavities in lungs； Their diagnosis depended on the examination of pathogenic organisms, type of fungi in 51 cases was Candida Albicans. Conclusion It is common that fungal infection occurred in MDR-PTB cases. Improving the recognition on the two diseases will be contribute to MDR-PTB control and reduce death rate.

Key words: tuberculosis, pulmonary/complication, tuberculosis,multidrug-resistant/complication, lung disease, fungus

叶梦华,张忠顺,杨妍,刘轾彬. 耐多药肺结核继发肺部真菌感染51例临床分析[J]. 中国防痨杂志, 2009, 31(12): 693-696.

Ye Mengh ua¹，Zhang Zhongshun², Yang Yan²， Liu Zhibin². Clinical analysis of pulmonary fungous infection in 51 cases of mu 11 id rug- resist ant pulmonary TB( MDR-PTB)[J]. Chinese Journal of Antituberculosis, 2009, 31(12): 693-696.

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