结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (4): 228-234.doi: 10.3969/j.issn.2095-3755.2013.04.003

• 专家论坛 • 上一篇    下一篇

重症社区获得性肺炎的诊断及治疗

于化鹏   

  1. 510280 广州,南方医科大学珠江医院呼吸科
  • 收稿日期:2013-11-25 出版日期:2013-11-30 发布日期:2013-11-30

The diagnosis and treatment of severe community acquired pneumonia

YU Hua-peng   

  1. Department of Respiratory Disease, Zhujiang Hospital, Southern Medical University, Guangzhou 510280,China
  • Received:2013-11-25 Online:2013-11-30 Published:2013-11-30

摘要: 社区获得性肺炎(CAP)是一种常见的严重感染,是感染性疾病的主要死亡因素,为西方国家的第六大死亡因素。因此,CAP是感染入住重症加强护理病房(ICU)的主要原因之一。最新研究报道,高达10%的CAP住院患者需入住ICU治疗。其中重症肺炎作为CAP的特殊亚组,在重症监护改善情况下,死亡率仍偏高。且具有高花费、高致残率等特点。对于重症肺炎早期的严重情况判断及治疗是重要的,即时及恰当的抗生素治疗是必需的,除标准的呼吸支持通气技术外,一些新的非常规技术也可能会有效果。

Abstract: Community-acquired pneumonia (CAP) is a frequent and severe infection, and is considered the primary cause of death from infection, and the sixth most common cause of overall mortality in Western countries. Consequently, CAP represents one of the leading causes of infectious admissions to the intensive care unit (ICU).Indeed, the latest studies have reported that up to 10% of all patients hospitalised with CAP require ICU management. In specific subgroup of severely ill patients, the overall mortality rate remains unacceptably high despite improvement in critical care management. Furthermore, the medical burden of CAP is very high in terms of direct costs, associated morbidity and long-term disability.