慢阻肺合并真菌感染

LEARNGENERALSECRETARYON“TWOTOLEARNA“STRENGTHENING“FOURCONSCIOUSNESSES“IMPORTANTSPEECHCAUSEDASTRONGREACTIONINTHECOUNTRYTIME,WATCHING“REDTREASURE“,THEORIGINOFBUILDINGTHEPARTYBACKTOPOWER,HOWTOSTRENGTHENSERVICESFORTHEMASSES,IMPROVEPARTYCOHESION,FIGHTINGTOBECOMETHEGRASSROOTSPARTYMEMBERSANDMASSESHOTTOPICGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESERVICEOFPARTYMEMBERSANDCADRES,THEPIONEERSPIRITDISTRIBUTIONOFGRASSROOTSPARTYORGANIZATIONSINALLWALKSOFPEOPLE,CLOTHING,SHELTER,WHICHBELONGSTOTHENERVEENDINGSOFTHEPARTYORGANIZATIONANDCOMMENTSREPUTATIONHASADIRECTPERCEPTIONOFTHEMASSESSTRENGTHENTHEPARTYAHEADOFTHE“PEDAL“SPIRITSTRENGTHENTHEPARTYMEMBERSANDCADRES“SUCCESSDOESNOTHAVETOBEME“AND“THEFIRSTTOBEARHARDSHIPS,THELASTTO“SERVICESPIRITTOSETTHEPARTYSPOSITIVEIMAGEAMONGTHEPEOPLEISIMPORTANTGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOCLEANSEALLPEOPLENOTHAPPYNOTTOSEE“STEREOTYPES“,ESTABLISHTHEHONESTFAITHFUL,DILIGENTFAITHFORTHEPEOPLENONEEDTOAVOIDMENTIONINGTHAT,SOMEMEMBERSOFOURPARTYCANNOTSTANDTHE“MONEY,“CORROSIONOFTEMPTATION,THIN,XUZHOU,SUCHABUSEANDCORRUPTBRIBERY,MALFEASANCEBORERS,ANDRATSTWO,ISTOCLEANUP,THIN,XU,ZHOUSSOLUTIONTORESTORETHEPARTYSFRESHANDNATURAL,SOLIDANDHONESTWORKSTYLECLEANSING“TAKE,EAT,CARD,“UNDESIRABLEANDBEHAVIOUR,“CROSS,HARDANDCOLD,PUSH“ATTITUDEGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESENSEOFORDINARYPARTYMEMBERS,PARTICIPATINGINCONSCIOUSNESS,UNITYCONSCIOUSNESSFORREASONSKNOWN,MEMBERSOFGRASSROOTSPARTYBRANCHESLESSMOBILE,LESSRESOURCES,ANDTHECONSTRUCTIONOFPARTYORGANIZATIONSHAVESOMELAGTWOSTUDIES,ISTOFOCUSONTHEGRASSROOTSPARTYBRANCHES“LOOSE,SOFT,LOOSE“PROBLEM,ADVANCETHEPARTYMEMBERSANDCADRES,“AGANGWORKING“,“HONGKONGREPORT“STRONGCLEANUPACTIONS,STYLEANDRAMBLING,PRESUMPTUOUS“UNQUALIFIED“PARTYMEMBERS,PAYSSPECIALATTENTIONTOPARTYMEMBERSANDCADRES“JOININGPARTYOFTHOUGHT“PROBLEM“PARTYBUILDING“ISOBTAINEDINTHELONGTERMDEVELOPMENTOFOURPARTYSHISTORICALEXPERIENCEACCUMULATEDTWOISOURPARTYUNDERTHENEWHISTORICALCONDITIONS,STRENGTHENTHEPARTYSCONSTRUCTIONOFANEW“RECTIFICATIONMOVEMENT“GRASSROOTSPARTYORGANIZATIONSSHOULDALWAYSCATCHTHEHARDWORK,RESULTSORIENTEDTWOEDUCATIONALOUTCOMESARELONGTERMORIENTEDANDBECOMEANIMPORTANTIMPETUSFORTHEWORK“TWO“SHOULDHAVETHREEKINDSOFCONSCIOUSNESS“TWO“STUDYANDEDUCATION,BASICLEARNINGLIESINTHEDOINGONLYTHECONSTITUTIONADDRESSTHESERIESOFPARTYRULES,ANDDOSOLIDWORK,BEQUALIFIEDPARTYMEMBERSHADASOLIDIDEOLOGICALBASISONLYTHE“LEARNING“AND“DO“REALUNITY,TOFORMA“LEARNLEARNDODO“THEVIRTUOUSCYCLE,ANDULTIMATELYACHIEVETHEFUNDAMENTALOBJECTIVEOFEDUCATIONTHISREQUIRESTHATTHEORGANIZATIONLEARNINGEDUCATION,NEEDTHREEKINDSOFCONSCIOUSNESSONEISTOESTABLISHANINTEGRATEDAWARENESS“LEARNING“AND“DO“WHATCARISTWOWHEEL,BIRDWINGS,NEEDTOGOHANDINHAND,ONEENDCANBENEGLECTEDCOMMUNISTTHEORETICIANANDMANONLYBYCLOSELYCOMBININGTHEORYANDPRACTICETOGETHERINORDERTOTRULYREALIZETHEIRVALUE“LEARNING“ISTHEFOUNDATION,THEFOUNDATIONISNOTSTRONG,SHAKING“ISTHEKEYTONETTONETTHOUSANDSOFACCOUNTS“TWO“EDUCATION,“LAYTHEBASIS,GOINGTO“DO“THEKEYGRIP,SOTHATTHE“LEARNING“AND“DOING“BACKTOSTANDARD,SOTHATTHEMAJORITYOFPARTYMEMBERS“LEARN“LEARNINGTHEORYOFNUTRIENTS,INTHE“DOING“PRACTICEPARTYSPURPOSESSECOND,TOESTABLISHASENSEOFDEPTH“LEARNING“AND“DO“NOTCHUDRAWN,ENTIRELYDIFFERENT,BUTTHEORGANICUNITYOFTHEWHOLE“TWO“LEARNINGEDUCATION,WENEEDTOEXPLOREINTEGRATING“LEARNING“IN“DO“,EXHIBIT“DO“IN“SCIENCE“TOAVOIDTHE“LEARNING“INTOSIMPLEROOMINSTRUCTION,“DO“INTOAMONOTONEFORDOINGSHOULDEXPLORATION“LEARN“INTHEHAS“DO“,“DO“INTHEHAS“LEARN“OFEDUCATIONANDPRACTICEOFCARRIER,MAKESGENERALGRASSROOTSMEMBERSCANIN“LEARN“INTHEHAS“DO“OFACHIEVEMENTSSENSE,IN“DO“INTHEHAS“LEARN“OFGETSENSE,REALMAKESPARTYOFTHEORYBRAININTOHEART,PUTFORPEOPLESERVICECONCEPTOUTSIDEOFYUSHAPEDTHIRD,TOADHERETOLONGTERMTHEAWARENESSSTYLECONSTRUCTIONONTHEROADFOREVER,“TWO“HADTOCATCHTHELONGTERM“TWO“STUDYANDEDUCATION,BYNOMEANS,ASSAULTSTYLEWINDSPORT,BUTTHERECURRENTEDUCATIONWITHINTHEPARTYINRECENTYEARS,THEPARTYSMASSLINEEDUCATIONPRACTICEAND“THREETHREE“SPECIALEDUCATIONINGRASSROOTSBORNERICHFRUITS,VASTNUMBERSOFPARTYMEMBERSANDCADRESWITHSTOODTHEBAPTISMOFTHESPIRIT“TWO“GREATERNEEDTOFOCUSONLONGERHOLDLONGTERM,TOESTABLISHANDPERFECTTHEEFFECTIVEMECHANISMOFTHEEDUCATION,FOCUSINGONTHECREATIONOFLONGTERMEDUCATION,STRIVETOMAKETHEVASTNUMBEROFPARTYMEMBERSTOMAINTAINTHEIRVANGUARDCOLOR,MAINTAINTHEPARTYSADVANCEDNATUREANDPURITYAWARENESSRAISING,ANTENNASANDATMOSPHEREADISCUSSIONONHOWLEADINGCADRESOFPARTYMEMBERS“TWO“CURRENT,“TWO“ACTIVITYISINFULLSWINGUPANDDOWNTHECOUNTRY,PARTYCADRESASA“KEYMINORITY“ISBOTHABAROMETERANDIMPETUSTHE“TWO“MEANINGENOUGHDEEP,ISTODETERMINETHEPARTYCADRESCANRESOLVETOSTUDYHARDFIRSTINTHE“TWO“INTHEPROCESS,SOMECADRESOFHIMSELF,STANDINGLONG,HIGHAWARENESS,THATCONSTITUTIONPARTYRULESISSIMPLE,ITSNOTWORTHBOTHERINGSOMEPARTYCADRESTHINKSPEAKSERIESHASNOTHINGTODOWITHTHEGRASSROOTSWORK,WATERBUSINESSLEARNINGSERIESOFSPEECHESSEENASWINDOWDRESSINGTHESE“LAZY,CASUAL,ANDDECADENT“IDEASLEARNINGLACKSMOTIVATION,ASERIOUSIMPEDIMENTTO“TWO“EFFECTJOHNSTUARTMILLONCESAID,ONLYABASICELEMENTOFHUMANTHOUGHTPATTERNSCHANGEDRAMATICALLY,HUMANDESTINYCANMAKEGREATIMPROVEMENTTHESAME,ONLYPARTYMEMBERSAND慢性阻塞性肺疾病急性加重期合并真菌性肺炎危险因素分析曾立、古小娟、唐灵四川省宜宾市第二人民医院四川宜宾644000摘要目的探讨慢性阻塞性肺疾病急性加重期（AECOPD）合并真菌性肺炎（FP）的易患因素和病原学特点。方法将2009年12月至2011年5月收治的464例AECOPD患者及合并26例FP患者的临床资料进行系统回顾性分析、观察AECOPD合并FP与未合并FP患者年龄、住院时间、抗生素和糖皮质激素的供用、有创机械通气等情况，比较两组真菌感染的易患因素。结果合并FP组全身应用激素、联合应用抗生素的比例显著大于未合并FP组（P005）；合并FP组共培养出真菌26例，白色假丝酵母菌12株4629、热带假丝酵母菌5株1929、克柔假丝酵母菌3株129、曲霉菌6株239结论AECOPD联合运用抗生素，全身应用糖皮质激素年龄、有创机械通气易导致真菌性肺炎，对于AECOPD患者如何预防及早发现和及时治疗FP是一个不容忽视的问题。慢性阻塞性肺疾病是一种进行性的、难以逆转的呼吸系统常见病，其主要特征是不完全可逆的气流受限。呼吸道感染是COPD病情恶化的主要原因之一。故AECOPD患者常规运用抗菌药物，有时还需联合运用抗菌药物，个别急性患者还需运用皮质激素，加之老年COPD患者免疫功能较低下、抵抗力较差，尤其是近年来抗生素、皮质激素不合理运用在临床上不断增加，故近年来AECOPD患者合并真菌性肺炎（FP）有增多趋势，使患者住院时间延长、医疗费用增加，甚至由于二重感染病情加重导致死亡，成为AECOPD治疗中又一困难因LEARNGENERALSECRETARYON“TWOTOLEARNA“STRENGTHENING“FOURCONSCIOUSNESSES“IMPORTANTSPEECHCAUSEDASTRONGREACTIONINTHECOUNTRYTIME,WATCHING“REDTREASURE“,THEORIGINOFBUILDINGTHEPARTYBACKTOPOWER,HOWTOSTRENGTHENSERVICESFORTHEMASSES,IMPROVEPARTYCOHESION,FIGHTINGTOBECOMETHEGRASSROOTSPARTYMEMBERSANDMASSESHOTTOPICGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESERVICEOFPARTYMEMBERSANDCADRES,THEPIONEERSPIRITDISTRIBUTIONOFGRASSROOTSPARTYORGANIZATIONSINALLWALKSOFPEOPLE,CLOTHING,SHELTER,WHICHBELONGSTOTHENERVEENDINGSOFTHEPARTYORGANIZATIONANDCOMMENTSREPUTATIONHASADIRECTPERCEPTIONOFTHEMASSESSTRENGTHENTHEPARTYAHEADOFTHE“PEDAL“SPIRITSTRENGTHENTHEPARTYMEMBERSANDCADRES“SUCCESSDOESNOTHAVETOBEME“AND“THEFIRSTTOBEARHARDSHIPS,THELASTTO“SERVICESPIRITTOSETTHEPARTYSPOSITIVEIMAGEAMONGTHEPEOPLEISIMPORTANTGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOCLEANSEALLPEOPLENOTHAPPYNOTTOSEE“STEREOTYPES“,ESTABLISHTHEHONESTFAITHFUL,DILIGENTFAITHFORTHEPEOPLENONEEDTOAVOIDMENTIONINGTHAT,SOMEMEMBERSOFOURPARTYCANNOTSTANDTHE“MONEY,“CORROSIONOFTEMPTATION,THIN,XUZHOU,SUCHABUSEANDCORRUPTBRIBERY,MALFEASANCEBORERS,ANDRATSTWO,ISTOCLEANUP,THIN,XU,ZHOUSSOLUTIONTORESTORETHEPARTYSFRESHANDNATURAL,SOLIDANDHONESTWORKSTYLECLEANSING“TAKE,EAT,CARD,“UNDESIRABLEANDBEHAVIOUR,“CROSS,HARDANDCOLD,PUSH“ATTITUDEGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESENSEOFORDINARYPARTYMEMBERS,PARTICIPATINGINCONSCIOUSNESS,UNITYCONSCIOUSNESSFORREASONSKNOWN,MEMBERSOFGRASSROOTSPARTYBRANCHESLESSMOBILE,LESSRESOURCES,ANDTHECONSTRUCTIONOFPARTYORGANIZATIONSHAVESOMELAGTWOSTUDIES,ISTOFOCUSONTHEGRASSROOTSPARTYBRANCHES“LOOSE,SOFT,LOOSE“PROBLEM,ADVANCETHEPARTYMEMBERSANDCADRES,“AGANGWORKING“,“HONGKONGREPORT“STRONGCLEANUPACTIONS,STYLEANDRAMBLING,PRESUMPTUOUS“UNQUALIFIED“PARTYMEMBERS,PAYSSPECIALATTENTIONTOPARTYMEMBERSANDCADRES“JOININGPARTYOFTHOUGHT“PROBLEM“PARTYBUILDING“ISOBTAINEDINTHELONGTERMDEVELOPMENTOFOURPARTYSHISTORICALEXPERIENCEACCUMULATEDTWOISOURPARTYUNDERTHENEWHISTORICALCONDITIONS,STRENGTHENTHEPARTYSCONSTRUCTIONOFANEW“RECTIFICATIONMOVEMENT“GRASSROOTSPARTYORGANIZATIONSSHOULDALWAYSCATCHTHEHARDWORK,RESULTSORIENTEDTWOEDUCATIONALOUTCOMESARELONGTERMORIENTEDANDBECOMEANIMPORTANTIMPETUSFORTHEWORK“TWO“SHOULDHAVETHREEKINDSOFCONSCIOUSNESS“TWO“STUDYANDEDUCATION,BASICLEARNINGLIESINTHEDOINGONLYTHECONSTITUTIONADDRESSTHESERIESOFPARTYRULES,ANDDOSOLIDWORK,BEQUALIFIEDPARTYMEMBERSHADASOLIDIDEOLOGICALBASISONLYTHE“LEARNING“AND“DO“REALUNITY,TOFORMA“LEARNLEARNDODO“THEVIRTUOUSCYCLE,ANDULTIMATELYACHIEVETHEFUNDAMENTALOBJECTIVEOFEDUCATIONTHISREQUIRESTHATTHEORGANIZATIONLEARNINGEDUCATION,NEEDTHREEKINDSOFCONSCIOUSNESSONEISTOESTABLISHANINTEGRATEDAWARENESS“LEARNING“AND“DO“WHATCARISTWOWHEEL,BIRDWINGS,NEEDTOGOHANDINHAND,ONEENDCANBENEGLECTEDCOMMUNISTTHEORETICIANANDMANONLYBYCLOSELYCOMBININGTHEORYANDPRACTICETOGETHERINORDERTOTRULYREALIZETHEIRVALUE“LEARNING“ISTHEFOUNDATION,THEFOUNDATIONISNOTSTRONG,SHAKING“ISTHEKEYTONETTONETTHOUSANDSOFACCOUNTS“TWO“EDUCATION,“LAYTHEBASIS,GOINGTO“DO“THEKEYGRIP,SOTHATTHE“LEARNING“AND“DOING“BACKTOSTANDARD,SOTHATTHEMAJORITYOFPARTYMEMBERS“LEARN“LEARNINGTHEORYOFNUTRIENTS,INTHE“DOING“PRACTICEPARTYSPURPOSESSECOND,TOESTABLISHASENSEOFDEPTH“LEARNING“AND“DO“NOTCHUDRAWN,ENTIRELYDIFFERENT,BUTTHEORGANICUNITYOFTHEWHOLE“TWO“LEARNINGEDUCATION,WENEEDTOEXPLOREINTEGRATING“LEARNING“IN“DO“,EXHIBIT“DO“IN“SCIENCE“TOAVOIDTHE“LEARNING“INTOSIMPLEROOMINSTRUCTION,“DO“INTOAMONOTONEFORDOINGSHOULDEXPLORATION“LEARN“INTHEHAS“DO“,“DO“INTHEHAS“LEARN“OFEDUCATIONANDPRACTICEOFCARRIER,MAKESGENERALGRASSROOTSMEMBERSCANIN“LEARN“INTHEHAS“DO“OFACHIEVEMENTSSENSE,IN“DO“INTHEHAS“LEARN“OFGETSENSE,REALMAKESPARTYOFTHEORYBRAININTOHEART,PUTFORPEOPLESERVICECONCEPTOUTSIDEOFYUSHAPEDTHIRD,TOADHERETOLONGTERMTHEAWARENESSSTYLECONSTRUCTIONONTHEROADFOREVER,“TWO“HADTOCATCHTHELONGTERM“TWO“STUDYANDEDUCATION,BYNOMEANS,ASSAULTSTYLEWINDSPORT,BUTTHERECURRENTEDUCATIONWITHINTHEPARTYINRECENTYEARS,THEPARTYSMASSLINEEDUCATIONPRACTICEAND“THREETHREE“SPECIALEDUCATIONINGRASSROOTSBORNERICHFRUITS,VASTNUMBERSOFPARTYMEMBERSANDCADRESWITHSTOODTHEBAPTISMOFTHESPIRIT“TWO“GREATERNEEDTOFOCUSONLONGERHOLDLONGTERM,TOESTABLISHANDPERFECTTHEEFFECTIVEMECHANISMOFTHEEDUCATION,FOCUSINGONTHECREATIONOFLONGTERMEDUCATION,STRIVETOMAKETHEVASTNUMBEROFPARTYMEMBERSTOMAINTAINTHEIRVANGUARDCOLOR,MAINTAINTHEPARTYSADVANCEDNATUREANDPURITYAWARENESSRAISING,ANTENNASANDATMOSPHEREADISCUSSIONONHOWLEADINGCADRESOFPARTYMEMBERS“TWO“CURRENT,“TWO“ACTIVITYISINFULLSWINGUPANDDOWNTHECOUNTRY,PARTYCADRESASA“KEYMINORITY“ISBOTHABAROMETERANDIMPETUSTHE“TWO“MEANINGENOUGHDEEP,ISTODETERMINETHEPARTYCADRESCANRESOLVETOSTUDYHARDFIRSTINTHE“TWO“INTHEPROCESS,SOMECADRESOFHIMSELF,STANDINGLONG,HIGHAWARENESS,THATCONSTITUTIONPARTYRULESISSIMPLE,ITSNOTWORTHBOTHERINGSOMEPARTYCADRESTHINKSPEAKSERIESHASNOTHINGTODOWITHTHEGRASSROOTSWORK,WATERBUSINESSLEARNINGSERIESOFSPEECHESSEENASWINDOWDRESSINGTHESE“LAZY,CASUAL,ANDDECADENT“IDEASLEARNINGLACKSMOTIVATION,ASERIOUSIMPEDIMENTTO“TWO“EFFECTJOHNSTUARTMILLONCESAID,ONLYABASICELEMENTOFHUMANTHOUGHTPATTERNSCHANGEDRAMATICALLY,HUMANDESTINYCANMAKEGREATIMPROVEMENTTHESAME,ONLYPARTYMEMBERSAND素。为此，本文就我院呼吸内科对2009年12月至2011年5月收治的464例AECOPD患者及合并26例FP患者的情况进行系统性分析。1资料与分析11一般资料我院呼吸内科2009年12月至2011年5月收治的464例慢性阻塞性肺疾病急性加重期（AECOPD）患者均符合中华医学会呼吸病学分会新修订慢性阻塞性肺疾病诊治指南（中华结核与呼吸杂志2007，30（1）；817），男性328例，女性136例，年龄在4280岁，平均年龄706岁，住院时间15102天，平均315天，18例患者行气管插管或气管切开呼吸机辅助呼吸；其中26例患者痰标本真菌培养阳性，符合侵袭性真菌病（IF1）的临床诊断标准，列入真菌性肺炎（FP）组，其余为未合并FP组。12痰标本采集取痰标本前用清水漱口或用3过氧化氢漱口，取深部痰液，置于无菌容器内立即送检，若患者为气管插管或气管切开者经插管或切开管道吸取机械通气患者下呼吸道分泌物送细菌室做培养鉴定。13真菌的培养痰标本经镜检合格（白细胞HP，上皮细胞01HP或白细胞上皮细胞25）连续培养出同一种真菌被认为是阳性，并做药物敏感试验。2结果21AECOPD合并FP的危险因素两组患者在性别、是否患糖尿LEARNGENERALSECRETARYON“TWOTOLEARNA“STRENGTHENING“FOURCONSCIOUSNESSES“IMPORTANTSPEECHCAUSEDASTRONGREACTIONINTHECOUNTRYTIME,WATCHING“REDTREASURE“,THEORIGINOFBUILDINGTHEPARTYBACKTOPOWER,HOWTOSTRENGTHENSERVICESFORTHEMASSES,IMPROVEPARTYCOHESION,FIGHTINGTOBECOMETHEGRASSROOTSPARTYMEMBERSANDMASSESHOTTOPICGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESERVICEOFPARTYMEMBERSANDCADRES,THEPIONEERSPIRITDISTRIBUTIONOFGRASSROOTSPARTYORGANIZATIONSINALLWALKSOFPEOPLE,CLOTHING,SHELTER,WHICHBELONGSTOTHENERVEENDINGSOFTHEPARTYORGANIZATIONANDCOMMENTSREPUTATIONHASADIRECTPERCEPTIONOFTHEMASSESSTRENGTHENTHEPARTYAHEADOFTHE“PEDAL“SPIRITSTRENGTHENTHEPARTYMEMBERSANDCADRES“SUCCESSDOESNOTHAVETOBEME“AND“THEFIRSTTOBEARHARDSHIPS,THELASTTO“SERVICESPIRITTOSETTHEPARTYSPOSITIVEIMAGEAMONGTHEPEOPLEISIMPORTANTGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOCLEANSEALLPEOPLENOTHAPPYNOTTOSEE“STEREOTYPES“,ESTABLISHTHEHONESTFAITHFUL,DILIGENTFAITHFORTHEPEOPLENONEEDTOAVOIDMENTIONINGTHAT,SOMEMEMBERSOFOURPARTYCANNOTSTANDTHE“MONEY,“CORROSIONOFTEMPTATION,THIN,XUZHOU,SUCHABUSEANDCORRUPTBRIBERY,MALFEASANCEBORERS,ANDRATSTWO,ISTOCLEANUP,THIN,XU,ZHOUSSOLUTIONTORESTORETHEPARTYSFRESHANDNATURAL,SOLIDANDHONESTWORKSTYLECLEANSING“TAKE,EAT,CARD,“UNDESIRABLEANDBEHAVIOUR,“CROSS,HARDANDCOLD,PUSH“ATTITUDEGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESENSEOFORDINARYPARTYMEMBERS,PARTICIPATINGINCONSCIOUSNESS,UNITYCONSCIOUSNESSFORREASONSKNOWN,MEMBERSOFGRASSROOTSPARTYBRANCHESLESSMOBILE,LESSRESOURCES,ANDTHECONSTRUCTIONOFPARTYORGANIZATIONSHAVESOMELAGTWOSTUDIES,ISTOFOCUSONTHEGRASSROOTSPARTYBRANCHES“LOOSE,SOFT,LOOSE“PROBLEM,ADVANCETHEPARTYMEMBERSANDCADRES,“AGANGWORKING“,“HONGKONGREPORT“STRONGCLEANUPACTIONS,STYLEANDRAMBLING,PRESUMPTUOUS“UNQUALIFIED“PARTYMEMBERS,PAYSSPECIALATTENTIONTOPARTYMEMBERSANDCADRES“JOININGPARTYOFTHOUGHT“PROBLEM“PARTYBUILDING“ISOBTAINEDINTHELONGTERMDEVELOPMENTOFOURPARTYSHISTORICALEXPERIENCEACCUMULATEDTWOISOURPARTYUNDERTHENEWHISTORICALCONDITIONS,STRENGTHENTHEPARTYSCONSTRUCTIONOFANEW“RECTIFICATIONMOVEMENT“GRASSROOTSPARTYORGANIZATIONSSHOULDALWAYSCATCHTHEHARDWORK,RESULTSORIENTEDTWOEDUCATIONALOUTCOMESARELONGTERMORIENTEDANDBECOMEANIMPORTANTIMPETUSFORTHEWORK“TWO“SHOULDHAVETHREEKINDSOFCONSCIOUSNESS“TWO“STUDYANDEDUCATION,BASICLEARNINGLIESINTHEDOINGONLYTHECONSTITUTIONADDRESSTHESERIESOFPARTYRULES,ANDDOSOLIDWORK,BEQUALIFIEDPARTYMEMBERSHADASOLIDIDEOLOGICALBASISONLYTHE“LEARNING“AND“DO“REALUNITY,TOFORMA“LEARNLEARNDODO“THEVIRTUOUSCYCLE,ANDULTIMATELYACHIEVETHEFUNDAMENTALOBJECTIVEOFEDUCATIONTHISREQUIRESTHATTHEORGANIZATIONLEARNINGEDUCATION,NEEDTHREEKINDSOFCONSCIOUSNESSONEISTOESTABLISHANINTEGRATEDAWARENESS“LEARNING“AND“DO“WHATCARISTWOWHEEL,BIRDWINGS,NEEDTOGOHANDINHAND,ONEENDCANBENEGLECTEDCOMMUNISTTHEORETICIANANDMANONLYBYCLOSELYCOMBININGTHEORYANDPRACTICETOGETHERINORDERTOTRULYREALIZETHEIRVALUE“LEARNING“ISTHEFOUNDATION,THEFOUNDATIONISNOTSTRONG,SHAKING“ISTHEKEYTONETTONETTHOUSANDSOFACCOUNTS“TWO“EDUCATION,“LAYTHEBASIS,GOINGTO“DO“THEKEYGRIP,SOTHATTHE“LEARNING“AND“DOING“BACKTOSTANDARD,SOTHATTHEMAJORITYOFPARTYMEMBERS“LEARN“LEARNINGTHEORYOFNUTRIENTS,INTHE“DOING“PRACTICEPARTYSPURPOSESSECOND,TOESTABLISHASENSEOFDEPTH“LEARNING“AND“DO“NOTCHUDRAWN,ENTIRELYDIFFERENT,BUTTHEORGANICUNITYOFTHEWHOLE“TWO“LEARNINGEDUCATION,WENEEDTOEXPLOREINTEGRATING“LEARNING“IN“DO“,EXHIBIT“DO“IN“SCIENCE“TOAVOIDTHE“LEARNING“INTOSIMPLEROOMINSTRUCTION,“DO“INTOAMONOTONEFORDOINGSHOULDEXPLORATION“LEARN“INTHEHAS“DO“,“DO“INTHEHAS“LEARN“OFEDUCATIONANDPRACTICEOFCARRIER,MAKESGENERALGRASSROOTSMEMBERSCANIN“LEARN“INTHEHAS“DO“OFACHIEVEMENTSSENSE,IN“DO“INTHEHAS“LEARN“OFGETSENSE,REALMAKESPARTYOFTHEORYBRAININTOHEART,PUTFORPEOPLESERVICECONCEPTOUTSIDEOFYUSHAPEDTHIRD,TOADHERETOLONGTERMTHEAWARENESSSTYLECONSTRUCTIONONTHEROADFOREVER,“TWO“HADTOCATCHTHELONGTERM“TWO“STUDYANDEDUCATION,BYNOMEANS,ASSAULTSTYLEWINDSPORT,BUTTHERECURRENTEDUCATIONWITHINTHEPARTYINRECENTYEARS,THEPARTYSMASSLINEEDUCATIONPRACTICEAND“THREETHREE“SPECIALEDUCATIONINGRASSROOTSBORNERICHFRUITS,VASTNUMBERSOFPARTYMEMBERSANDCADRESWITHSTOODTHEBAPTISMOFTHESPIRIT“TWO“GREATERNEEDTOFOCUSONLONGERHOLDLONGTERM,TOESTABLISHANDPERFECTTHEEFFECTIVEMECHANISMOFTHEEDUCATION,FOCUSINGONTHECREATIONOFLONGTERMEDUCATION,STRIVETOMAKETHEVASTNUMBEROFPARTYMEMBERSTOMAINTAINTHEIRVANGUARDCOLOR,MAINTAINTHEPARTYSADVANCEDNATUREANDPURITYAWARENESSRAISING,ANTENNASANDATMOSPHEREADISCUSSIONONHOWLEADINGCADRESOFPARTYMEMBERS“TWO“CURRENT,“TWO“ACTIVITYISINFULLSWINGUPANDDOWNTHECOUNTRY,PARTYCADRESASA“KEYMINORITY“ISBOTHABAROMETERANDIMPETUSTHE“TWO“MEANINGENOUGHDEEP,ISTODETERMINETHEPARTYCADRESCANRESOLVETOSTUDYHARDFIRSTINTHE“TWO“INTHEPROCESS,SOMECADRESOFHIMSELF,STANDINGLONG,HIGHAWARENESS,THATCONSTITUTIONPARTYRULESISSIMPLE,ITSNOTWORTHBOTHERINGSOMEPARTYCADRESTHINKSPEAKSERIESHASNOTHINGTODOWITHTHEGRASSROOTSWORK,WATERBUSINESSLEARNINGSERIESOFSPEECHESSEENASWINDOWDRESSINGTHESE“LAZY,CASUAL,ANDDECADENT“IDEASLEARNINGLACKSMOTIVATION,ASERIOUSIMPEDIMENTTO“TWO“EFFECTJOHNSTUARTMILLONCESAID,ONLYABASICELEMENTOFHUMANTHOUGHTPATTERNSCHANGEDRAMATICALLY,HUMANDESTINYCANMAKEGREATIMPROVEMENTTHESAME,ONLYPARTYMEMBERSAND病、深静脉置管方向的差异无统计学意义（P005）。FP组联合应用抗菌药物，全身运用糖皮质激素和气管切开或插管行人工机械通气、年龄大的比例显著大于NFP组。（P005）见表1表1FP危险因素的比较项目FP组（N26）NFP组N438男19301女7137年龄707662联合应用抗菌素23（885）164（397）全身应用激素12（462）24（55）平均住院时间386天172天有创机械通气6（230）18（4）合并糖尿病44822真菌培养培养出真菌26株，其中假丝酵母菌22株占269，曲霉菌6株占231。见表2表2检出真菌构成比病原菌株数构成比（）白色菌丝酵母菌12462热带假丝酵母菌5192克柔假丝酵母菌3129LEARNGENERALSECRETARYON“TWOTOLEARNA“STRENGTHENING“FOURCONSCIOUSNESSES“IMPORTANTSPEECHCAUSEDASTRONGREACTIONINTHECOUNTRYTIME,WATCHING“REDTREASURE“,THEORIGINOFBUILDINGTHEPARTYBACKTOPOWER,HOWTOSTRENGTHENSERVICESFORTHEMASSES,IMPROVEPARTYCOHESION,FIGHTINGTOBECOMETHEGRASSROOTSPARTYMEMBERSANDMASSESHOTTOPICGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESERVICEOFPARTYMEMBERSANDCADRES,THEPIONEERSPIRITDISTRIBUTIONOFGRASSROOTSPARTYORGANIZATIONSINALLWALKSOFPEOPLE,CLOTHING,SHELTER,WHICHBELONGSTOTHENERVEENDINGSOFTHEPARTYORGANIZATIONANDCOMMENTSREPUTATIONHASADIRECTPERCEPTIONOFTHEMASSESSTRENGTHENTHEPARTYAHEADOFTHE“PEDAL“SPIRITSTRENGTHENTHEPARTYMEMBERSANDCADRES“SUCCESSDOESNOTHAVETOBEME“AND“THEFIRSTTOBEARHARDSHIPS,THELASTTO“SERVICESPIRITTOSETTHEPARTYSPOSITIVEIMAGEAMONGTHEPEOPLEISIMPORTANTGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOCLEANSEALLPEOPLENOTHAPPYNOTTOSEE“STEREOTYPES“,ESTABLISHTHEHONESTFAITHFUL,DILIGENTFAITHFORTHEPEOPLENONEEDTOAVOIDMENTIONINGTHAT,SOMEMEMBERSOFOURPARTYCANNOTSTANDTHE“MONEY,“CORROSIONOFTEMPTATION,THIN,XUZHOU,SUCHABUSEANDCORRUPTBRIBERY,MALFEASANCEBORERS,ANDRATSTWO,ISTOCLEANUP,THIN,XU,ZHOUSSOLUTIONTORESTORETHEPARTYSFRESHANDNATURAL,SOLIDANDHONESTWORKSTYLECLEANSING“TAKE,EAT,CARD,“UNDESIRABLEANDBEHAVIOUR,“CROSS,HARDANDCOLD,PUSH“ATTITUDEGRASSROOTSPARTYORGANIZATIONS“TWO“ISTOSTRENGTHENTHESENSEOFORDINARYPARTYMEMBERS,PARTICIPATINGINCONSCIOUSNESS,UNITYCONSCIOUSNESSFORREASONSKNOWN,MEMBERSOFGRASSROOTSPARTYBRANCHESLESSMOBILE,LESSRESOURCES,ANDTHECONSTRUCTIONOFPARTYORGANIZATIONSHAVESOMELAGTWOSTUDIES,ISTOFOCUSONTHEGRASSROOTSPARTYBRANCHES“LOOSE,SOFT,LOOSE“PROBLEM,ADVANCETHEPARTYMEMBERSANDCADRES,“AGANGWORKING“,“HONGKON