社区获得性肺炎诊断和治疗指南(草案)

1、()(communityac2quiredpneumonia,CAP)(),,CAP,,CAP,,,,,,1CAP1.1,,;1.21.3()1.4WBC10109/L4109/L,1.5X,145,,2CAP2.112.2,,,2.2.1,,3;,,12.2.2,2ha4(),24h2.2.3,(10/25/,1:2.5),42.3()2.3.1;105cfu/ml(++)(BALF)104cfu/ml(+++)(PSB)1+-+()-BALF-+PPD,FA()+IFA,EIABALFKOHHEGMS()+ID()CF()()-+()MIF()CFEIA-+()?BALFFA()+()CFEIALAFA()BALFGMSFA--:BWLF:PPD:FA:IFA:EIA:KOH:ID:HE:GMS:ComoriCF:MIF:LA:851ModernPracticalMedicine,March2002,Vol.14,No.3©1995-2003TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.BAL103cfu/ml(+);4。

2、;44;42.3.2(+++);,();3;1:32;1:3201:25641:1282.3.3();(+++);2.3.12.3.23CAPCAP,3.1653.2;;;;1CAP;;;3.330/min;120/min;90/60mmHg(1mmHg=0.133kPa);4035;;3.4WBC20109/L,4109/L,1109/L;PaCO260mmHgPaO2/FiO2300,PaCO250mmHg;(Scr)106mol/L(BUN)7.1mmol/L;Hb90g/L(HCT)30%;2.5g/L;(DIC),(PT)(PTT);X,,:;30/min;PaO260mmHgPaO2/FiO2300,;90/60mmHg;,48h50%;,20ml/h,80ml/4h4CAP,,CAP,,,4.1::()()4.2::/,4.3:():;,;;,4.4::;/,;;:(MIC0.11.0g/ml),,G240Uq46h,,,,,,//35,,5CAP5.14872h,X,,,,;5.272h,,:,,95120023143©1995-2003TsinghuaTongfang。

3、OpticalDiscCo.,Ltd.Allrightsreserved.,,()(),,(19985,)()(hospitalacquiredpneumonia,HAP)(nosocomicalpneumonia,NP),,48h()HAP0.5%1.0%,24;ICU15%20%,18%60%,50%HAP1.3%3.4%,(29.5%)HAPCAPHAP,,,HAP,,,,1HAPCAPHAP,ARDSHAPX,10%20%X2HAPCAP:HAPCAPHAP2HAP(),,(),ICUHAP,HAP,3HAP3.1::ICUH2-:::ICUAIDS::3.2:,(54),,,:CAP(54),,4HAP4.1HAP::(MSSA):()/;HAP::(MRSA)::;/(///);();(MRSA);4.2(MSSA):;:MRSA:();():():()061ModernPracticalMedicine,March2002,Vol.14,No.3©1995-2003TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.。