在儿童中复杂的肺炎
Fernando M de Benedictis1, Eitan Kerem2, Anne B Chang3
1Salesi Children's Hospital Foundation, Ancona, Italy.
Lancet (London, England)
|September 13, 2020
概括
在儿童中发生的复杂性肺炎是严重的,但可治疗的. 早期怀疑和适当的抗生素,以成像和培养为指导,导致恢复,排水通常足够治疗.
科学领域:
- 儿童医学
- 传染性疾病
- 肺病学
背景情况:
- 在儿童中出现局部和全身并发症.
- 当肺炎在48-72小时内没有对抗生素产生反应时,CCAP要求及时识别和治疗.
研究的目的:
- 概述儿童复杂社区肺炎的诊断和治疗策略.
- 强调早期发现和适当治疗的重要性,以确保有利的结果.
主要方法:
- 最初的诊断包括胸部放射和超声波,以评估肺膜和肺部液体.
- 治疗包括长时间的静脉和口服抗生素,以微生物学数据为指导.
- 肺液分析和成像可为有关肺内纤维溶解剂和排水程序的决定提供信息.
主要成果:
- 肺炎菌和金黄色菌是常见的致病生物.
- 大多数病例是用抗生素和肺部排水治疗的; 很少需要进行广泛的手术.
- 尽管病程可能会延长,特别是在死性肺炎中,完全康复是典型的结果.
结论:
- 早期怀疑和结构化的诊断和治疗方法对于管理儿科CCAP至关重要.
- 以微生物学为指导的抗生素选择和及时干预,如肺部排水,是成功管理的关键.
- 虽然CCAP是严重的,但在适当的照顾下,它通常是可以治愈的.
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