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近年来,随着抗生素及激素的广泛应用,使消化道内的正常菌群失调及免疫功能低下,深部真菌的感染率有明显增长趋势,特别是上消化道霉菌感染的发生率明显增多,常与消化性溃疡及恶性溃疡相混淆或同时存在,易致漏诊及误诊。本文总结我院消化科1992~1994年诊断的上消化道霉菌感染24例,探讨其诊断及治疗方法。 临床资料 一、一般资料:1.对象:24例中男18例,女6例,男:女为3:1。发病年龄41~84岁,平均68岁,多为老年患者。病程<5年4例占16.7%,5~10年18例占75.0%,>10年2例占8.3%。2.主要临床表现及伴随疾病:主要表现为左上腹轻微痛或不适,无泛
In recent years, with the widespread use of antibiotics and hormones, so that the normal flora in the digestive tract dysfunction and immune dysfunction, the infection rate of deep fungi have increased significantly, especially the incidence of upper gastrointestinal fungal infections increased significantly, often with Peptic ulcer and malignant ulcer confused or co-exist, easy to cause missed diagnosis and misdiagnosis. This article summarizes the diagnosis of upper gastrointestinal fungal infection in our hospital from 24 cases of digestive tract 1992 to 1994, discussing its diagnosis and treatment. Clinical data First, the general information: 1. Objects: 24 cases of male 18 cases, 6 females, male: female 3: 1. The age of onset of 41 to 84 years old, with an average of 68 years old, mostly elderly patients. 4 cases accounted for 16.7% for 5 years, 18.0% for 5 ~ 10 years, and 8.3% for 2 cases> 10 years. 2. The main clinical manifestations and associated diseases: mainly for the left upper quadrant slight pain or discomfort, no pan