(精选)【医学课件课件】重症肺炎的治疗(63p)教学课件.pptVIP

脑膜通透性：如果脑膜无炎症，所有?内酰胺类通透性都不理想；有炎症后，通透性有所提高，但血浓度也很难达到30%（血浓度达到30%是较理想的指标）。较好的有马斯平、头孢噻肟和头孢曲松 。青霉素制剂中，无炎症也不理想，血浓度在10%以下。脑膜炎时，特治星也只达到20%。 记住克雷白菌可以是呼吸道一个简单的正常定植菌 谢 谢 Successful treatment of nosocomial pneumonia can be a daunting task since the greatest success occurs when appropriate treatment is initiated at the first signs of infection. This means that the initial treatment is typically empiric, and choosing an adequate therapy is made more difficult by the high prevalence of resistance found in the ICU. Fluoroquinolones have been used in some new treatment strategies that attempt to quickly and