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支原体肺炎感染

最后审阅: 22 Nov 2024
最后更新: 25 Oct 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 持续咳嗽
  • 干咳
  • 症状迁延
  • 发热
  • 体格检查听诊附加音
  • 接触呼吸道感染人员
完整详情

其他诊断因素

  • 咽痛受累
  • 皮疹
  • 头痛
  • 大疱性鼓膜炎
  • 肝炎
完整详情

危险因素

  • 人口密集的社区环境
  • 近期接触
  • 吸烟
  • 年龄<30 岁
  • 免疫抑制
  • 无脾
完整详情

诊断性检查

首要检查

  • 白细胞计数
  • 血红蛋白
  • 肝功能检查 (LFT)
  • 脉搏血氧测量测定法
  • 尿素和电解质
  • C 反应蛋白
  • 胸部 X 线检查
完整详情

需考虑的检查

  • 核酸扩增试验 (NAAT)
  • 血清学
  • 培养±/革兰染色
完整详情

新兴检查

  • 抗原检测

治疗流程

急症处理

肺炎

撰稿人

作者

Ran Nir-Paz, MD
Ran Nir-Paz

Professor in Medicine and Clinical Microbiology

Department of Clinical Microbiology and Infectious Diseases

Hadassah-Hebrew University Medical Center

Jerusalem

Israel

利益声明

RNP declares that he has no competing interests. RNP is an author of several references cited in this topic.

Takeshi Saraya, MD, PhD

Associate Professor

Department of Respiratory Medicine

Kyorin University School of Medicine

Tokyo

Japan

利益声明

TS declares that he has no competing interests.

同行评议者

Enno Jacobs, MD

Director

Institute for Medical Microbiology and Hygiene

Dresden

Germany

利益声明

EJ declares that he has no competing interests.

Laura J. Christie, MD

Research Scientist

Pediatric Infectious Disease

California Department of Public Health

Viral and Rickettsial Disease Laboratory

Richmond

CA

利益声明

LC declares that she has no competing interests.

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