国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2010年
2期
82-85
,共4页
医疗保健相关性肺炎
醫療保健相關性肺炎
의료보건상관성폐염
Healthcare-associated pneumonia
医疗保健相关性肺炎是新近提出的独立的肺炎类型,其不同于社区获得性肺炎、医院获得性肺炎和呼吸机相关性肺炎.医疗保健相关性肺炎患者来源于院外,某些病例特征在一定程度上与社区获得性肺炎存在交叉,但其临床表现、危险因素、病因学、预后及初始经验性抗生素治疗又与社区获得性肺炎有所差异,反而与医院获得性肺炎有诸多重叠.因此当务之急,医务工作者应全面且正确识别医疗保健相关性肺炎,这对我们指导治疗、改善预后意义极其重大.
醫療保健相關性肺炎是新近提齣的獨立的肺炎類型,其不同于社區穫得性肺炎、醫院穫得性肺炎和呼吸機相關性肺炎.醫療保健相關性肺炎患者來源于院外,某些病例特徵在一定程度上與社區穫得性肺炎存在交扠,但其臨床錶現、危險因素、病因學、預後及初始經驗性抗生素治療又與社區穫得性肺炎有所差異,反而與醫院穫得性肺炎有諸多重疊.因此噹務之急,醫務工作者應全麵且正確識彆醫療保健相關性肺炎,這對我們指導治療、改善預後意義極其重大.
의료보건상관성폐염시신근제출적독립적폐염류형,기불동우사구획득성폐염、의원획득성폐염화호흡궤상관성폐염.의료보건상관성폐염환자래원우원외,모사병례특정재일정정도상여사구획득성폐염존재교차,단기림상표현、위험인소、병인학、예후급초시경험성항생소치료우여사구획득성폐염유소차이,반이여의원획득성폐염유제다중첩.인차당무지급,의무공작자응전면차정학식별의료보건상관성폐염,저대아문지도치료、개선예후의의겁기중대.
Heahhcare-associated pneumonia is an independent category of pneumonia, which was introduced recently and is different from community-acquired pneumonia,hospital-acquired pneumonia and ventilator-associated pneumonia.Patients with heahhcare-associated pneumonia come from community,to a certain extent, characteristics of some cases cross with that of community-acquired pneumonia.But its clinical manifestation, risk factors, etiology, prognosis and initial empirical antibiotic therapy differ from community-acquired pneumonia.On the contrary, there is lots of overlapping with hospital-acquired pneumonia.Therefore,it is imperative for medical workers to recognize healthcare-associated pneumonia comprehensively and correctly, which plays an extremely significant role for us to guide treatment and improve prognosis.