三九養(yǎng)生堂記者 鄧肯·蓋伊 報(bào)道
精彩| 而??(er)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)拍??(pai)一??(yi)張??(zhang)片??(pian)子??(zi)顯??(xian)示??(shi)肺??(fei)部??(bu)“一??(yi)片??(pian)白??(bai)”??，其??(qi)實(shí)??(shi)是??(shi)一??(yi)大??(da)片??(pian)的??(de)實(shí)??(shi)變??(bian)和??(he)不??(bu)張??(zhang)??。??肺??(fei)不??(bu)張??(zhang)是??(shi)指?(zhi)一??(yi)個(gè)??(ge)或??(huo)多??(duo)個(gè)??(ge)肺??(fei)段??(duan)及??(ji)肺??(fei)葉??(ye)的??(de)容?(rong)量??(liang)或??(huo)含?(han)氣??(qi)量??(liang)減??(jian)少??(shao)??。支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)最??(zui)大??(da)的?(de)影??(ying)響??(xiang)其??(qi)實(shí)??(shi)是?(shi)可??(ke)能??(neng)留??(liu)有??(you)遠(yuǎn)??(yuan)期??(qi)的?(de)后??(hou)遺??(yi)癥??(zheng)??，特??(te)別??(bie)是??(shi)影?(ying)像??(xiang)學(xué)?(xue)結(jié)??(jie)果??(guo)比??(bi)較??(jiao)嚴(yán)??(yan)重??(zhong)的??(de)患??(huan)兒??(er)??。比??(bi)如??(ru)“肺??(fei)不?(bu)張??(zhang)”一??(yi)直??(zhi)不??(bu)吸??(xi)收??(shou)??，形??(xing)成??(cheng)支??(zhi)氣??(qi)管??(guan)擴(kuò)??(kuo)張??(zhang)??，有??(you)壞?(huai)死??(si)甚??(shen)至??(zhi)栓??(shuan)塞??(sai)的?(de)概??(gai)率??(lv)??，這??(zhe)是??(shi)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)和??(he)其??(qi)他??(ta)的??(de)肺??(fei)炎??(yan)不?(bu)太??(tai)一??(yi)樣??(yang)的??(de)情??(qing)況??(kuang)??。 對(duì)??(dui)于??(yu)網(wǎng)?(wang)上??(shang)廣??(guang)為??(wei)討??(tao)論??(lun)的??(de)“支??(zhi)原??(yuan)體??(ti)耐??(nai)藥??(yao)”情??(qing)況??(kuang)??，《指?(zhi)南??(nan)》中??(zhong)也??(ye)明??(ming)確??(que)指??(zhi)出?(chu)??，目??(mu)前??(qian)支??(zhi)原??(yuan)體??(ti)耐??(nai)藥??(yao)位??(wei)點(diǎn)??(dian)的??(de)檢??(jian)出??(chu)與??(yu)臨??(lin)床??(chuang)療??(liao)效??(xiao)沒??(mei)有??(you)強(qiáng)??(qiang)相??(xiang)關(guān)??(guan)??。?通??(tong)俗??(su)來(lái)??(lai)說(shuō)??(shuo)??，就??(jiu)是??(shi)在??(zai)支??(zhi)原??(yuan)體??(ti)感??(gan)染??(ran)或??(huo)肺??(fei)炎??(yan)治??(zhi)療??(liao)上??(shang)??，耐??(nai)藥??(yao)者??(zhe)和??(he)不??(bu)耐??(nai)藥??(yao)者??(zhe)并??(bing)沒??(mei)有??(you)太??(tai)大??(da)差??(cha)異??(yi)??。主??(zhu)要??(yao)差?(cha)異??(yi)是??(shi)耐??(nai)藥??(yao)者??(zhe)的??(de)退??(tui)熱??(re)時(shí)??(shi)間??(jian)延?(yan)后??(hou)、病??(bing)程??(cheng)較??(jiao)長(zhǎng)??(chang)??，但??(dan)重??(zhong)癥??(zheng)的??(de)比?(bi)例??(li)差??(cha)別??(bie)不??(bu)明??(ming)顯??(xian)??。所??(suo)以?(yi)目??(mu)前??(qian)臨??(lin)床??(chuang)上??(shang)還??(hai)是??(shi)推??(tui)薦??(jian)兒??(er)童??(tong)使??(shi)用??(yong)大??(da)環(huán)??(huan)內(nèi)??(nei)酯??(zhi)類??(lei)抗??(kang)生??(sheng)素??(su)進(jìn)??(jin)行??(xing)治??(zhi)療??(liao)??。
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責(zé)編：楊之光
審核：吉尼
責(zé)編：呂程平