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目的分析96例危重患者深部真菌感染情况和临床特点。方法在2006年1月～2007年1月期间,对96例ICU患者的血、痰、尿、引流液进行真菌检查,并分析临床资料。结果1年期间ICU共发生8例深部真菌感染,感染菌种以念珠菌为多,其发生与抗生素、糖皮质激素的使用及严重基础疾病、老龄有关。结论重视ICU深部真菌感染,控制易患因素,及时真菌检查甚至监测以做到早期诊断和早期治疗。
Objective To analyze the deep fungal infection and clinical features in 96 critically ill patients. Methods From January 2006 to January 2007, 96 patients with ICU were tested for the blood, sputum, urine and drainage fluid, and the clinical data were analyzed. Results A total of 8 cases of deep fungal infection were found in ICU in one year. The majority of Candida species were found in the ICU. Their occurrence was related to the use of antibiotics, glucocorticoids, severe underlying diseases and aging. Conclusion It is important to pay attention to the deep fungal infection in ICU, to control the predisposing factors, and to make timely fungal examination and even monitoring to achieve early diagnosis and early treatment.