【摘要】 目的:探讨老年肺癌患者继发真菌性肺炎的原因、预防和治疗。方法:回顾性分析老年肺癌继发真菌性肺炎患者24例,通过及时送检痰培养、应用抗真菌药物大扶康来观察临床治疗效果。结果:24例继发真菌感染患者应用大扶康治疗后复查,治愈率为87.5%(21/24),死亡2例(8.33%)。结论:老年肺癌患者继发真菌性肺炎的发病率较高,应提早采取预防措施,确诊后及时应用抗真菌治疗,可提高临床控制率,降低死亡率。

    【关键词】老年人; 肺癌; 真菌感染; 大扶康

    【Abstract】 Objective To explore the reason for secondary fungal pneumoni in aged patients with lung cancer. Methods 24 aged patients with secondary fungal pneumoni, followed lung cancer, were analysed retrospectively, clinical treatment outcome was observed through submitting sputum for censorship and culture, administration of antifungal agents diflucan. Results After treatment with diflucan, 24 aged patients with secondary fungal pneumoni and lung cancer were followed up, the cure rate and mortality was 87.5%(21/24), 8.33%(2/24) respectively. Conclusion The morbidity of secondary fungal pneumoni in aged patients with lung cancer was high, preventive measure should be adopted, controlling rate could be improved and mortality could be decreased by administration of antifungal agents in good time after diagnosis. ......