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目的:研讨老年慢性阻塞性肺疾病发病继发真菌感染病因及有效治疗的措施。方法:总结分析于2009年1月至2013年1月间来我院诊治的118例老年慢性阻塞性肺部疾病继发真菌感染患者诊治资料,根据痰培养和药敏试验针对性用药。结果:COPD的致病菌多为白色念珠菌、曲球菌等,其有效治疗药物为氟康唑,确诊要根据临床表现、辅助检查及痰培养的结果。结论:针对老年COPD患者进行治疗时,应先行确定感染病菌,然后针对性选择抗菌素药,结合综合治疗有助于疾病的痊愈。
Objective: To investigate the etiology and effective treatment of secondary fungal infections in elderly patients with chronic obstructive pulmonary disease. Methods: The data of diagnosis and treatment of 118 elderly patients with chronic obstructive pulmonary disease secondary to fungal infection diagnosed and treated in our hospital from January 2009 to January 2013 were summarized and analyzed. According to the sputum culture and drug sensitivity test, the drugs were given. Results: Most of the pathogenic bacteria of COPD were Candida albicans, Mycobacterium phlei and so on. The effective therapeutic drug was fluconazole. The diagnosis was based on the clinical manifestations, laboratory tests and sputum culture results. Conclusion: In the treatment of senile patients with COPD, the pathogenic bacteria should be determined first, and then the antibiotics should be chosen according to the combination therapy, which will help cure the disease.