重症社区获得性肺炎的诊治

Diagnosis and Treatment of Severe Community Acquired Pneumonia

随着我国老龄化进程的加快,重症社区获得性肺炎(SCAP)诊治受广泛重视。SCAP多因感染毒力极强的革兰阳性或阴性菌所致,病情严重,发展快,容易诱发多种严重并发症,若不及时治疗,可危及患者的生命安全。因此,如何诊治SCAP是临床迫切需要解决的问题之一。因多重耐药菌的出现,抗感染难度不断增加。故准确诊断SCAP,科学合理的治疗,降低病死率,是临床治疗SCAP的主要目的。本文对SCAP发病机制、诊断标准以及治疗方案作一综述,以期为疾病的诊治提供参考依据。

With the acceleration of the aging process in China,the diagnosis and treatment of severe community acquired pneumonia(SCAP)has received extensive attention.SCAP is caused by Gram-positive or negative bacteria with strong virulence.The disease is serious and develops rapidly.It is easy to induce a variety of serious complications.If not treated in time,it may endanger the patient’s life safety.Therefore,how to diagnose and treat SCAP is one of the urgent problems that need to be solved in clinical practice.Due to the emergence of multi-drug resistant bacteria,the difficulty of anti-infection is increasing.Therefore,accurate diagnosis of SCAP,scientific and reasonable treatment,and reduce the mortality rate is the main purpose of clinical treatment of SCAP.This article reviews the pathogenesis,diagnostic criteria and treatment options of SCAP in order to provide a reference for the diagnosis and treatment of the disease.