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目的探讨老年肺结核合并真菌感染的诊断与治疗。方法回顾分析老年肺结核合并肺部真菌感染49例的临床资料。结果多为复治者,病程既长又重,病变范围广泛,多有空洞,并有继发真菌感染诱因、抵抗力下降的老年人;在临床上常被原发病掩盖,易发生误诊,确诊有赖于病原学检查。全部病例抗结核及抗真菌治疗均有效。结论肺结核合并肺部真菌感染有增多趋势,了解其临床特点可提高对两病并存的诊治水平。
Objective To investigate the diagnosis and treatment of senile pulmonary tuberculosis complicated with fungal infection. Methods The clinical data of 49 elderly patients with pulmonary tuberculosis and pulmonary fungal infection were retrospectively analyzed. The results are mostly for the retreat, both long and heavy disease course, a wide range of lesions, more than empty, and secondary causes of fungal infection, decreased resistance in the elderly; clinically often covered by the original disease, prone to misdiagnosis, Diagnosis depends on etiological examination. All cases of anti-TB and anti-fungal treatment are effective. Conclusion Pulmonary tuberculosis with pulmonary fungal infections have an increasing trend, to understand its clinical features can improve the diagnosis and treatment of the two diseases coexist.