近年来,临床上深部霉菌感染明显增多,其中包括二类,一类是由粗球孢子菌、荚膜组织胞浆菌、申克氏孢子丝菌、巴西副球孢子菌和皮炎芽生菌等原发致病霉菌引起的,另一类是由新型隐球菌、光滑球拟酵母和各种念珠菌、毛霉菌、曲霉菌等继发或条件致病霉菌所引起.前一类早已被确定为重要的感染源;后一类目前亦已逐渐被认作重要病因,尤其是在防御机能低下的患者.概述临床医师在考虑深部霉菌感染的治疗时,首先必须解决的问题不是用什么药,而是有无必要用药.这一抉择事关紧要,因为它涉及自限性感染和进行性感染这二个迥然不同的概念.自限性感染可自然消退,进行 In recent years, clinical deep mold infection increased significantly, including two categories, one is from the Coccidian spore, capsule Histoplasma capsulatum, Shinsepolis sporotrichum, Paragonimus sp. And dermatitis dermatitis original Caused by pathogenic fungi, the other is caused by Cryptococcus neoformans, Pseudomonas aeruginosa and a variety of Candida, Mucor, Aspergillus or other conditions caused by pathogenic fungi caused by the former has long been identified as important Of the source of infection; the latter category has also been gradually recognized as a major cause, especially in patients with defensive dysfunction Overview Clinicians in the treatment of deep fungal infection, the first problem to be solved is not what medicine, but There is no need for medication .This choice matters, because it involves self-limiting and progressive infection of these two very different concepts.Self-limiting infection can be spontaneous regression