如何合理理解重症社区获得性肺炎.pptVIP

;肺 炎 诊 断 ;Introduction;SCAP定义的演进;SCAP的诊断标准;One major+ three minor;PSI 评分系统 ;Thorax 2003;58:377–382;两种评分系统与患者死亡率;;;危重度评估四大因素 ;‘‘admission to the ICU’’ is biased by local admission policies limit the applicability of predictive rules in other treatment settings NPV In non-ICU ward (intermediate care unit) ‘‘admission to the ICU’’ can be replaced by its inflation to ‘‘admission to the ICU or intermediate care unit.’’;;最重要的混杂因素 潜在的治疗限制因素: elderly, multiple Comorbidities, severe disability ;Variables included;Time course of pneumonia severity;SCAP的再思考;What is SCAP?; severe sepsis and septic sho