课件：肺炎的治疗.pptx

肺炎的抗菌治疗;;;;CAP的流行病学;CAP的流行病学;结论;Viruses and Gram-negative bacilli dominate the etiology of community-acquired pneumonia in Indonesia, a cohort study;;病例;现病史;体检;实验室检查;诊疗经过;诊疗经过;诊疗经过;诊疗经过;;治疗过程;转归;Respiratory syncytial virus bronchiolitis followed by pneumonia in a 50-year-old man with acute lymphocytic leukemia. A and B, Initial CT examination shows many small tree-in-bud opacities widely scattered across the lungs bilaterally, typical of a viral bronchiolitis. C and D, CT obtained 7 days later shows progressive consolidation and ground-glass opacity, indicating development of viral pneumonia. More confluent ground-glass opacity at the lung bases also suggests a progression from viral bronchiolitis to viral pneumonia. This was interpreted as possible fungal pneumonia on the original radiology report.;Parainfluenza bronchiolitis in a 69-year-old man. The CT examinations reveals few tree-in-bud opacities, mild bronchial wall thickening, mild ground-glass opacity and a small focal area of consolidation in the lingula. Large portions of the lung at other levels seemed normal. There is also a small left pleural effusion.This minimal change was occasionally the only manifestation of viral LRTI.;A 62-year-old man with influenza pneumonia. A and B, CT images show multifocal areas of ground-glass opacity bilaterally with small bilateral pleural effusions. This was interpreted as representing multifocal bacterial pneumonia on the original radiology report.;Adenovirus pneumonia in a 54-year-old man. A and B, CT images show multifocal areas of consolidation in the lungs bilaterally. This was interpreted as representing multifocal bacterial pneumonia on the original radiology report;Annotated BTS guidelines for community acquired pneumonia in adults;;所有CAP患者在入院时应做如下检查 ;给氧的目标;军团菌培养;何时复查胸部影像？;对于重症CAP;序贯治疗及疗程;产Panton-Valentine Leukocidin(PVL)-的金黄色葡萄球菌;CAP的预防;健康护理相关的肺炎(HCAP);HCAP;CAP与HCAP区别;;HAP和VAP的定义和分类;早发性HAP的抗生素推荐方案;迟发性HAP的的抗生素推荐方案;抗生素治疗时限;;方法：前瞻、随机、对照、双盲临床试验 入选患者：1999.05-2002.0