最近审阅: 1 十一月 2020
最近更新: 16 十一月 2018

小结

定义

病史和体格检查

其他诊断因素

  • 心动过速
  • 呼吸急促
  • 低血压
  • 低毛细血管再灌注
  • 急性精神错乱
  • 排尿量减少
  • 低血氧饱和度
  • 皮疹
  • 肝脾肿大
  • 体温过低

危险因素

  • 中心静脉导管的使用
  • 广谱抗生素的使用
  • 多部位定植
  • 血液透析
  • 手术
  • 胃肠外营养
  • 免疫抑制剂(如:化疗、全身使用糖皮质激素)
  • 静脉毒品使用

诊断性检查

首要检查

  • 血液培养
  • 全血细胞计数(FBC)
  • 动脉血气分析(ABG)
  • 乳酸水平
  • 凝血功能检查
  • 肾功能检查
  • 肝功能检查
  • 血清葡萄糖
更多 首要检查

需考虑的检查

  • β 1,3 葡聚糖
  • T2 磁共振分析
  • 组织活检
更多 需考虑的检查

新兴检查

  • 聚合酶链反应
  • 基质辅助激光解吸电离飞行时间(MALDI-TOF)质谱分析
更多 新兴检查

治疗流程

撰稿人

Dean and Professor of Medicine

Wayne State University School of Medicine

Detroit

MI

利益声明

JDS declares that he has no competing interests.

Professor of Medicine

Division of Infectious Diseases

Wayne State University School of Medicine

Detroit

MI

利益声明

SR has received grants for research from Astellas, Gilead, and Merck, and is involved in clinical trials for Cidara.

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Professor of Medicine

Department of Medicine

Medical College of Georgia

Augusta

GA

利益声明

JF is an author of a number of references cited in this monograph. JF is a member of the speaker's bureau for the following companies: Pfizer, Merck, and Astellas.

Praticien hospitalier

Service de medecine de la Transplantation et d'Immunologie clinique

Hopital Edouard Herriot

Lyon

France

利益声明

JML has been invited by Astellas, the manufacturer of micafungin, to attend a symposium, and invited by Gilead Sciences, manufacturer of liposomal amphotericin B, to attend different HIV conferences, and has been paid by Gilead Sciences for running HIV educational programs.

Director

Alfa Institute of Biomedical Sciences

Marousi

Athens

Greece

利益声明

MF declares that he has no competing interests.

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