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2016 中国急诊重症肺炎临床实践专家共识

2016-02-20 中国医师协会急诊医师分会 中国急救医学.2016,36(2):91-107

随着近年来重症肺炎在病原学、病情评估和临床预后等方面研究的不断深入,为更好地指导重症肺炎的治疗,于学忠等制定了本共识,对重症肺炎的诊断、急诊及入院后评估、治疗、治疗后评估及预后等方面进行了阐述。

中文标题:

2016 中国急诊重症肺炎临床实践专家共识

发布日期:

2016-02-20

简要介绍:

重症肺炎(SeVere pneumonia,SP)是由肺组织(细支气管、肺泡、间质)炎症发展到一定疾病阶段,恶化加重形成,引起器官功能障碍甚至危及生命。社区获得性肺炎(community—acquired pneumonia,CAP)、医院获得性肺炎(hospital—acquired pneumonia,HAP)、健康护理(医疗)相关性肺炎(healch care—associated pneumonia,HeAP)和呼吸机相关性肺炎(ventilatorassociated pneumonia,VAP)均可引起重症肺炎,重症肺炎病死率高达30%一50%,可导致严重的并发症,加重医疗经济负担。


重症肺炎救治的首站多为急诊科,并需要呼吸、监护病房、感染、检验等临床多科室协作才能完成。

随着近年来重症肺炎在病原学、病情评估和临床预后等方面研究的不断深入,为更好地指导重症肺炎的治疗,于学忠等参考中华医学会呼吸病学分会2002年《医院获得性肺炎诊断和治疗指南(草案)》、2006年《社区获得性肺炎诊断和治疗指南》、美国IDSA/ATS成人社区获得性肺炎指南、2014年中国严重脓毒症/感染性休克治疗指南及2015年中华医学会呼吸病分会感染学组起草的《社区获得性肺炎诊断和治疗指南》,应用循证医学的方法制定了本共识,对重症肺炎的诊断、急诊及入院后评估、治疗、治疗后评估及预后等方面进行了阐述。

拓展指南:重症肺炎相关指南:

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2016 中国急诊重症肺炎临床实践专家共识
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    2022-03-30 洁巴子

    实用

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1207143, encodeId=5fd1120e143ac, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211220/34dc3395cbdc499d89c489c063269dd6/050ea6ea2df143eaa7f141a7ebb4d0bc.jpg, createdBy=94156413226, createdName=洁巴子, createdTime=Wed Mar 30 09:53:04 CST 2022, time=2022-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192744, encodeId=06681192e44e9, content=实用性强,有效, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sat Feb 12 20:05:25 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192531, encodeId=3d551192531bc, content=非常好,实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Fri Feb 11 22:36:14 CST 2022, time=2022-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077986, encodeId=a94410e798699, content=谢谢分享,已学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c40d6162757, createdName=ms6000001867035096, createdTime=Wed Dec 08 08:27:30 CST 2021, time=2021-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071719, encodeId=912d10e171999, content=谢谢分享,已学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b7473053054, createdName=449152631, createdTime=Fri Nov 19 11:21:29 CST 2021, time=2021-11-19, status=1, ipAttribution=)]
    2022-02-12 ms3000000637975859

    实用性强,有效

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1207143, encodeId=5fd1120e143ac, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211220/34dc3395cbdc499d89c489c063269dd6/050ea6ea2df143eaa7f141a7ebb4d0bc.jpg, createdBy=94156413226, createdName=洁巴子, createdTime=Wed Mar 30 09:53:04 CST 2022, time=2022-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192744, encodeId=06681192e44e9, content=实用性强,有效, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sat Feb 12 20:05:25 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192531, encodeId=3d551192531bc, content=非常好,实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Fri Feb 11 22:36:14 CST 2022, time=2022-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077986, encodeId=a94410e798699, content=谢谢分享,已学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c40d6162757, createdName=ms6000001867035096, createdTime=Wed Dec 08 08:27:30 CST 2021, time=2021-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071719, encodeId=912d10e171999, content=谢谢分享,已学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b7473053054, createdName=449152631, createdTime=Fri Nov 19 11:21:29 CST 2021, time=2021-11-19, status=1, ipAttribution=)]
    2022-02-11 ms3000000637975859

    非常好,实用

    0

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    2021-12-08 ms6000001867035096

    谢谢分享,已学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1207143, encodeId=5fd1120e143ac, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211220/34dc3395cbdc499d89c489c063269dd6/050ea6ea2df143eaa7f141a7ebb4d0bc.jpg, createdBy=94156413226, createdName=洁巴子, createdTime=Wed Mar 30 09:53:04 CST 2022, time=2022-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192744, encodeId=06681192e44e9, content=实用性强,有效, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sat Feb 12 20:05:25 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192531, encodeId=3d551192531bc, content=非常好,实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Fri Feb 11 22:36:14 CST 2022, time=2022-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077986, encodeId=a94410e798699, content=谢谢分享,已学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c40d6162757, createdName=ms6000001867035096, createdTime=Wed Dec 08 08:27:30 CST 2021, time=2021-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071719, encodeId=912d10e171999, content=谢谢分享,已学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b7473053054, createdName=449152631, createdTime=Fri Nov 19 11:21:29 CST 2021, time=2021-11-19, status=1, ipAttribution=)]
    2021-11-19 449152631

    谢谢分享,已学习

    0

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