恶性血液病合并肺部侵袭性真菌感染31例临床分析

Clinical study of pulmonary invasive fungal infections in hematological malignancies

  • 摘要: 目的 探讨恶性血液病合并肺部侵袭性真菌感染(invasive fungal infection,IFI)的临床特点。方法 对31例并发肺部IFI的恶性血液病患者的临床特征进行回顾性分析。结果 广谱抗生素使用时间≥7d,IFI出现前中性粒细胞缺乏时间≥7d,中性粒细胞缺乏持续时间≥10d是并发IFI的重要诱因。感染菌种主要为白色念珠菌(占9.7%,3株)、非白色念珠菌(占12.9%,4株)和曲霉菌(29.1%,9株)。虽经抗真菌治疗,仍有8例患者死于呼吸衰竭。结论 恶性血液病患者易于发生IFI,且一旦发生病死率明显增加,应及早进行预防和早期经验性抗真菌治疗。

     

    Abstract: Objective To study the clinical characteristics of patients with hematological malignancy accompanying pulmonary invasive fungal infection(IFI). Methods Thirty-one patients with patients pulmonary IFI were enrolled in this study.The clinical manifestations,fungal spectrum,and treatment outcome of these patients were observed. Results Broad-spectrum antibiotics were used for ≥7 days.Neutropenia occurred ≥7 days before development of IFI and its persistentime was ≥10 days,which was the high risk factor for IFI in hematological malignancy.The most common fungal sub types were Candida albicans,non-Candida albicans,and aspergillus.Although amphotericin B and itraconozole,etc,were used in treatment of IFI,8 patients died of respiratory failure. Conclusion IFI is easy to occur in patients with hematological malignancy.Early prevention and treatment with anti-fungal agents can reduce the mortality of IFI and achieve a better prognosis.

     

/

返回文章
返回