医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
10期
42-43
,共2页
社区获得性肺炎%诊断%治疗
社區穫得性肺炎%診斷%治療
사구획득성폐염%진단%치료
Community acquired pneumonia%Diagnosis%Treatment
目的：分析社区获得性肺炎诊断与治疗。方法：收集2013年1月—2014年2月我院收治的98例社区获得性肺炎患者临床资料进行回顾性分析，分析临床表现、诊断及治疗。结果：临床典型表现为发热、寒战、咳嗽、咳痰，此外还可表现为消化道症状、发绀、胸痛呼吸困难等；痰培养阳性者白假丝酵母菌和大肠埃希菌占有比例较高；临床治疗前期可行经验性治疗，并同时明确病原菌感染情况，及时有针对性治疗。结论：临床中诊断社区获得性肺炎较为困难，可根据患者病史、临床表现结合相关辅助检查作出初步诊断，病原菌检测阳性可明确诊断，行积极有针对性抗菌治疗可有效改善患者预后。
目的：分析社區穫得性肺炎診斷與治療。方法：收集2013年1月—2014年2月我院收治的98例社區穫得性肺炎患者臨床資料進行迴顧性分析，分析臨床錶現、診斷及治療。結果：臨床典型錶現為髮熱、寒戰、咳嗽、咳痰，此外還可錶現為消化道癥狀、髮紺、胸痛呼吸睏難等；痰培養暘性者白假絲酵母菌和大腸埃希菌佔有比例較高；臨床治療前期可行經驗性治療，併同時明確病原菌感染情況，及時有針對性治療。結論：臨床中診斷社區穫得性肺炎較為睏難，可根據患者病史、臨床錶現結閤相關輔助檢查作齣初步診斷，病原菌檢測暘性可明確診斷，行積極有針對性抗菌治療可有效改善患者預後。
목적：분석사구획득성폐염진단여치료。방법：수집2013년1월—2014년2월아원수치적98례사구획득성폐염환자림상자료진행회고성분석，분석림상표현、진단급치료。결과：림상전형표현위발열、한전、해수、해담，차외환가표현위소화도증상、발감、흉통호흡곤난등；담배양양성자백가사효모균화대장애희균점유비례교고；림상치료전기가행경험성치료，병동시명학병원균감염정황，급시유침대성치료。결론：림상중진단사구획득성폐염교위곤난，가근거환자병사、림상표현결합상관보조검사작출초보진단，병원균검측양성가명학진단，행적겁유침대성항균치료가유효개선환자예후。
Objective Analysis of diagnosis and treatment of community-acquired pneumonia.Methods Collected from January 2013 to February 2014 in our hospital 98 cases of community acquired pneumonia in patients with clinical data were retrospectively analyzed, analysis of the clinical manifestations, diagnosis and treatment.Results Clinical typical characterized by fever, chills, cough, sputum, and also can be characterized by gastrointestinal symptoms, cyanosis, chest pain, dyspnea, etc; White sputum culture positive for candida yeast and e. coli have a higher percentage; Early clinical practical empirical treatment, and at the same time clear pathogen infection were targeted therapy in time. Conclusions In the clinical diagnosis of community-acquired pneumonia is difficult, but according to patient history, clinical manifestations, combined with relevant auxiliary examination to make preliminary diagnosis, pathogen detection positive definite diagnosis, actively targeted antimicrobial therapy can effectively improve the prognosis of patients.
