社区获得性肺炎临床路径标准住院流程 .pdf

社区获得性肺炎临床路径

标准住院流程

目录

一、住院流程··························································1

（一）适用对象·······························································1

（二）诊断依据·······························································1

（三）治疗方案的选择······················································1

（四）标准住院日····························································2

（五）进入路径标准·························································2

（六）建议进入普通病房的标准··········································2

1、年龄·····················································································2·

2、存在基础疾病或相关因素之一····················································2·

3、存在下异常体征之一································································2·

4、存在实验室和影像学异常之一····················································3·

（七）入院1天·······························································3

（八）治疗方案·······························································3

1、评估特定病原体的危险因素·······················································3·

2、药物选择···············································································4·

3、初始治疗第2～3天检查及评估·················································4·

（1）评价初始治疗反应···········································································4·

（2）有病原学依据时··············································································4·

4、初始治疗第4～5天检查及评估··················································4·

（1）评价治疗反应·················································································4·

（2）无改善或恶化·················································································4·

5、对症支持治疗·········································································5·

6、合并胸腔积液·································