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目的 探讨减少肺结核合并肺念珠菌病的发生和误诊。方法 以肺结核病情好转或稳定中， 出现新的症状， Ｘ 线片显示新病灶或原病灶扩大， 痰真菌培养连续三次生长同种真菌且抗真菌治疗后病情改善， 痰真菌培养无原真菌生长为标准。１２ 例病人被确诊合并肺念珠菌病并作回顾性分析。结果 本组病人肺结核病灶范围较广泛， 空洞多， 痰菌阳性率高， 多有高热、血白细胞和中性粒细胞数较高， 及广谱抗生素和糖皮质激素使用史， 多误诊。结论 本病易误诊， 临床应予重视， 规则使用广谱抗生素和激素可减少它的发生。
Objective To investigate the occurrence and misdiagnosis of pulmonary tuberculosis complicated with pulmonary candidiasis. Methods With the improvement or stabilization of pulmonary tuberculosis, new symptoms appeared. X-ray showed that the new or original lesion was enlarged. The same fungus was grown three times in sputum fungus culture and the condition was improved after anti-fungal treatment. standard. Twelve patients were diagnosed with pulmonary candidiasis and analyzed retrospectively. Results This group of patients with pulmonary tuberculosis range wider, more empty, sputum bacteria positive rate, high fever, high numbers of white blood cells and neutrophils, and broad-spectrum antibiotics and glucocorticoid use history, more misdiagnosis. Conclusion The disease is easy to be misdiagnosed and clinically important, and the rule of using broad-spectrum antibiotics and hormones can reduce its occurrence.