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霉菌感染
    A Study on the Spectrum of In-hospital Fungal Infection and Its Risk Evaluation for Inpatient
    医院内霉菌感染菌相与住院病人危险度研究
    CT evaluation in children with hepatosplenic and renal fungal infection after chemotherapy
    儿童化疗后继发肝脾肾霉菌感染的CT检查价值
    Progress of early diagnosis and management for invasive fungal infection in newborn infants
    新生儿侵袭性霉菌感染早期诊断和治疗研究近况
    The clinical analysis on invasive fungal infection in NICU
    新生儿重症监护病房侵袭性霉菌感染的临床分析
    It was due to lung infection in 35 (61. 4%),25 of them being bacterial infection,5 cytomegalovirus,3 tuberculosis and 2 fungal infection.
    其中肺部感染35例,占61.4%(细菌感染25例,巨细胞病毒(CMV)感染5例、结核感染3例、霉菌感染2例);
    Results\ The occurrence ratio of fungal infection in Group A and B had obvious difference. (χ 2=4.21,P<0.05);
    结果 A、B两组患者中霉菌感染发生率有明显差异 (χ2 =4.2 1,P <0 .0 5 ) ;
    Results Of 182 patients, pulmonary cavity, which was diagnosed clinically as fungal infection complicated to SARS, was found in 6 (3.3%), pleural effusion in 10 (5 .5 % ), pneumomediastinum and subcutaneous emphysema in 8 (4.4%), and pneumothorax in 3 (1.6%).
    结果 根据X线平片和CT所见,在182例患者中,6例(3.3%)出现空洞病变,临床诊断为霉菌感染; 10例(5.5%)出现胸水,8例(4.4%)出现纵隔气肿和皮下气肿,3例(1.6%)出现气胸。
    54 complications were occurred postoperatively, including secondary abodominal cavity bleeding (4 cases), severe infection of ascites (2 case), stress gastrio ulcer with bleeding and perforation (1 case), biliary fistula (6 case) , pulmonary infection (21 cases) , and enteric fungal infection (5 cases) There were no primary dysfunction of liver and vessal complications.
    术后发生并发症54例次,含因凝血功能紊乱致术后腹腔内继发性出血4例,术前腹水感染未能控制,致术后腹水严重感染2例,激素用量过大致应激性溃疡出血、穿孔1例,胆瘘6例,肺部感染21例,肠道霉菌感染5例。
    Method Analyze the process of diagnosis,clinic characters,respones to treatment and prognosis of fungal infection.
    方法总结2年中明确诊断深部霉菌感染病人的诊断过程、方法、临床特征、治疗反应和转归。
    One patient was died of severe acute rejection(4A) at 15th postoperative day and 1 succumbed to multisystem organ failure due to severe bacterial infection combine fungal infection.
    1例因重症急性排斥(4A级)于术后15 d死亡,1例因余肺重症细菌感染合并霉菌感染于术后1个月因多脏器衰竭死亡。
    Twenty-seven patients were successfully grafted,one failed to graft, one died from severe fungal infection at day 2 and one died from severe veno-occlusive disease at day 28. The mean time of white cell count more than 1.0×109/L was 14(11-18) days and platelet count more than 20×109/L was 15 (11-18) days.
    1例移植失败,1例移植后2d死于重症霉菌感染,1例移植后28d死于重症肝静脉阻塞病; 移植后WBC>1·0×109/L平均时间14(11~18)d,血小板>20×109/L时间15(11~18)d。
    Results(1)Invasive fungal infection occurred in 1.73%(32/1?854). The morbidity was 37.5%(12/32).
    结果(1)同期NICU收治的1 854例患儿中32例发生霉菌感染,发生率为1.73%,死亡12例,病死率37.5%;
    (3)The risk factors for invasive fungal infection included prematurity,especially in VLBW neonates,prolonged mechanical ventilation(χ~2=10.68,P<0.005;χ~2=36.2,P< 0.005).
    (3)霉菌感染的危险因素中,低出生体重和机械通气是发生霉菌感染的高危因素(χ2=10.68,P<0.005;χ2=36.2,P<0.005);
    FUNGAL INFECTION IN ACUTE LEUKEMIA PREVENTED AND TREATED WITH FLUCONAZOLE
    氟康唑预防及治疗急性白血病合并霉菌感染
    Pulmonary Fungal Infection in Malignant Hematological Diseases: an Analysis of 14 Cases
    恶性血液病并发肺部霉菌感染14例临床分析
    Sonographic evaluation of secondary hepatosplenic fungal infection in children with non, Hodgkin's lymphoma after chemotherapy
    儿童恶性血液病化疗后继发肝、脾霉菌感染超声检查价值
    The primary probe of the ultrasonic manifestation of hepatic fungal infection
    肝霉菌感染的超声表现
    (2) Bilateral pulmonary edema in 20 (43%) cases among the 28 whose lungs were examined. 45% cases of pulmonary edema were complicated by bronchopneumonia, 10% by fungal infection, and 15% by pulmonary hemorrhage.
    20/28例(约71%)有肺水肿,其中9例伴发支气管肺炎、3例伴发霉菌感染、2例伴发肺出血;
    s: We analysed 46 cases complicating fungal infection from Jan,1992 to Feb.1995 clinically. These cases incluele 33 cases of acute leukemia,5 cases of malignant lymphoma,1 case of multiple myeloma,1 case of malignant mole after chemotherapy,1 case of rhabdomyosarcoma after bone marrow transplantation,1 case renal carcinoma after radia thrtapy,2 cases of serve-type aplastic anemia.
    对1992年1月到1995年2月我科诊断的急性白血病化疗后33例,恶性淋巴瘤化疗后7例,重型再生障碍性贫血2例,横纹肌肉瘤骨髓移植后1例,多发性骨髓瘤化疗后1例,恶性葡萄胎化疗后1例,肾癌放疗后1例,共46例合并霉菌感染的患者进行临床分析,总结了易导致霉菌感染的6个因素。
    Couclusion : We should raise the cognition of the fungal infection following abdominal surgery and achieve early diagnosis and prompt treatment in order to avoid the serious consequences of fungal septicemia and multiple organ dysfunction syndrome.
    结论 应对腹部外科术后并发霉菌感染提高认识,做到早期诊断,及时治疗,以免霉菌性菌血症导致多器官功能不全等严重后果发生.
 

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