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　　三九養(yǎng)生堂記者 鄧肯·蓋伊 報(bào)道

精彩|　　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??(lai)說??(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)???！　??(liu)峰??(feng)：支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)病??(bing)原??(yuan)體??(ti)有??(you)特??(te)殊??(shu)性??(xing)??，因??(yin)其??(qi)沒??(mei)有??(you)細(xì)??(xi)胞??(bao)壁??(bi)??，所??(suo)以??(yi)平?(ping)時(shí)??(shi)常??(chang)用??(yong)的??(de)作??(zuo)用??(yong)于??(yu)細(xì)??(xi)胞??(bao)壁??(bi)的??(de)青??(qing)霉??(mei)素??(su)類??(lei)、頭??(tou)孢?(bao)類??(lei)抗??(kang)菌??(jun)藥??(yao)物??(wu)對(duì)??(dui)其??(qi)無??(wu)效??(xiao)??。??目??(mu)前??(qian)??，根??(gen)據(jù)??(ju)國(guó)??(guo)家??(jia)衛(wèi)??(wei)生??(sheng)健?(jian)康??(kang)委??(wei)員??(yuan)會(huì)??(hui)印??(yin)發(fā)??(fa)的??(de)《兒??(er)童??(tong)肺??(fei)炎??(yan)支??(zhi)原??(yuan)體??(ti)肺?(fei)炎?(yan)診??(zhen)療??(liao)指?(zhi)南??(nan)(2023 年??(nian)版??(ban))》(下??(xia)稱??(cheng)：《指??(zhi)南??(nan)》)??，包??(bao)括?(kuo)阿?(e)奇??(qi)霉??(mei)素??(su)、克??(ke)拉??(la)霉??(mei)素??(su)、紅?(hong)霉??(mei)素??(su)、羅?(luo)紅??(hong)霉??(mei)素??(su)等??(deng)的??(de)大??(da)環(huán)??(huan)內(nèi)??(nei)酯??(zhi)類??(lei)抗??(kang)菌??(jun)藥??(yao)物??(wu)為??(wei)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)的?(de)首??(shou)選??(xuan)治??(zhi)療??(liao)??。

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