摘要
儿童坏死性肺炎是社区获得性肺炎的严重并发症之一,目前定义尚不统一,其主要特点是肺实质损伤、坏死伴有空洞形成。虽然肺炎链球菌感染是儿童坏死性肺炎主要的发病因素,但是大部分仍未找到明确致病菌。儿童坏死性肺炎临床病情较普通肺炎重,并发症常见;及时行胸部CT检查有助于早期发现、早期诊断;治疗上仍以保守抗生素治疗为主,绝大部分病例预后相对较好。
Necrotizing pneumonia is a severe complication of community-acquired pneumonia in children,with no clear definition currently,characterized by parenchymal injury,necrosis and cavity formation.Streptococcus pneumonia is the most common pathogen;however a positive microbiology is not always obtainable.The clinical manifestation of necrotizing pneumonia is more serious than ordinary pneumonia,and complications are common.Chest CT scan is helpful to early detection and diagnosis.Antibio-tics remain the mainstay of treatment,and the prognosis is relatively well.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2013年第8期701-705,共5页
Journal of Clinical Pediatrics
关键词
坏死性肺炎
诊断
治疗
儿童
necrotizing pneumonia
diagnosis
treatment
child
