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目的探讨肺结核继发肺部白色念珠菌感染的临床特点,提高其确诊率和治愈率。方法对32例肺结核继发肺部白色念珠菌感染病例应用HRZE(S)或KOPL化疗方案结合抗真菌及增强机体免疫功能进行治疗。结果痰菌转阴者16例,痰菌阴转率50%;除1例白色念珠菌感染外,其余31例转阴。结论肺结核继发肺部白色念珠菌感染,在临床上只要及时有效的应用HRZE(S)或KOPL化疗方案结合抗真菌及增强机体免疫功能进行治疗,疗效较为理想。
Objective To investigate the clinical characteristics of pulmonary tuberculosis secondary to Candida albicans infection and to improve its diagnosis and cure rate. Methods 32 cases of pulmonary tuberculosis secondary to Candida albicans infection in patients with HRZE (S) or KOPL chemotherapy combined with anti-fungal and enhance immune function for treatment. Results 16 cases of sputum negative conversion, sputum negative conversion rate of 50%; in addition to a case of Candida albicans infection, the remaining 31 cases of negative. Conclusions Pulmonary tuberculosis secondary to Candida albicans infection in lung is clinically effective if HRZE (S) or KOPL chemotherapy is combined with antifungal and enhance immune function.