【摘要】 目的 探讨咽喉部真菌感染的病因、临床表现及诊断治疗规律。方法 对我科门诊自2004年1月～2005年1月患咽喉部真菌感染的13例病人进行回顾性分析。结果 本组资料表明：咽喉部霉菌感染临床并非少见，抗生素的长期使用和糖尿病是真菌感染的主要诱因。临床表现主要为咽部疼痛症状13例，发生率为100%，吞咽困难及咽堵者占61.5%，阵发性或者持续性干咳占53.8%。咽喉部真菌感染容易诊断，取咽部膜状物涂片显微镜下找到真菌、菌丝或孢子即可确诊，经真菌培养及药敏试验可确定菌种，选用药物。咽喉部真菌感染常伴发细菌感染，需同时抗细菌治疗。结论 随着抗生素的广泛应用及一些其他诱因的增多，咽喉部霉菌感染的发病率呈持续上升趋势。此病的诊断及治疗相对简单、预后良好，广大临床医生应加强对这一疾病的认识，提高对该病的诊治率。

    【关键词】 真菌；咽喉；诊断；治疗

    Clinic analysis to 13 cases with fungal infection in pharynx and larynx

    CAO Li-Hong.

    Department of Otorhinolaryngolog, The Medical University General Hospital , Tianjin 300052,China

    【Abstract】 Objective To explore the etiology, the symptom, the diagnosis and the treatment of the fungal infection in pharynx and larynx from Jan 2004 to Jan 2005 in Tianjin Medical University General Hospital.Methods 13 cases of fungal infection in pharynx and larynx were retrospectively studied.Results It was imply that the fungal infection in pharynx and larynx isn't rare in the clinic.The main cause was the long-term usage of antibiotic and the diabetes mellitus. The fungal infection in pharynx and larynx was characterized by pain, 100% occur; dysphagia and the feel of blockaded, 61.5% occur; discontinuous or continuous dry cough, 53.8% occur.It was easy to diagnosis. Get the secretion from the pharynx and put it on slide ......