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Updated: Jul 25, 2026

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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
この患者さんはコミュニティ感染性肺炎ですか? 肺炎の診断は,病歴と身体検査によるものです
J P Metlay1, W N Kapoor, M J Fine
1Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, USA.
JAMA
|November 14, 1997
まとめ
診療室での地域感染性肺炎 (CAP) の診断は困難です. 単一の症状でCAPが確認されるわけではありませんが,異常な生命体徴候の欠如や胸腔聴覚検査の結果は,肺炎の可能性を大幅に低下させることができます.
科学分野:
- 内科内科は,内科の内科である.
- 肺内科 肺内科 肺内科
- 診断医学 診断医学
背景:
- コミュニティで得られた肺炎 (CAP) は,外科医の診療で急性呼吸器症状の頻発の原因です.
- CAPの正確な診断は,適切な治療と予後のために不可欠です.
- 胸部放射線はゴールドスタンダードですが,臨床評価はしばしばイメージングに先立ちます.
研究 の 目的:
- CAPの診断において,患者の病歴と身体検査の有用性に関する文献をレビューする.
- 外出医療におけるCAPの承認または拒否を助ける臨床的発見を特定する.
主な方法:
- 疑わしいCAPにおける臨床発見の診断の正確性に関する公表された研究の体系的レビュー.
- 肺炎を診断または排除する能力のための個々のおよび組み合わせた臨床発見の分析.
主要な成果:
- 単一の臨床的発見または組み合わせは,CAPの診断を信頼できる形で確認するものではありません.
- 生命体の異常がないことと正常な胸腔検査の結果は,CAPの確率を大幅に低下させる.
結論:
- 臨床史と身体検査だけでは,CAPの決定的な判断には不十分です.
- 徹底的な身体検査,特に異常な生命体徴候や肺の音の欠如は,CAPを除外し,さらなる診断検査を回避するのに役立ちます.
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