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[局部战争和军事冲突中军人肺炎的流行病学与预防]

[Pneumonia epidemiology and prophylaxis in servicemen in local wars and military conflicts].

作者信息

Mel'nichenko P I, Ogarkov P I, Zhogolev S D, Kharitonov M A, Komarevtsev V N

出版信息

Voen Med Zh. 2001 Aug;322(8):54-61, 96.

Abstract

The high military-and-epidemiological significance of pneumonia in servicemen during the war in Afghanistan (1979-1989) and the armed conflict in Chechnia (1995-1996) is shown and the measures for increasing the pneumonia incidence in the regions of operations are substantiated. It is established that more than 70% of pneumonia are conditioned by pneumococci that rather frequently show the pathogenic features against the background of viral (usually influenzal) respiratory infection or in association with Hemophilic bacillus, Chlamydia or Mycoplasma. The main factor leading to development of pneumonia during the period of local wars is the decreased organism resistance caused by supercooling, stresses and overwork as well as untreated acute respiratory diseases.

摘要

阿富汗战争(1979 - 1989年)和车臣武装冲突(1995 - 1996年)期间,军人肺炎具有很高的军事和流行病学意义,文中阐述了在作战地区提高肺炎发病率的措施。已确定超过70%的肺炎由肺炎球菌引起,这些肺炎球菌在病毒性(通常是流感性)呼吸道感染背景下或与嗜血杆菌、衣原体或支原体相关联时,相当频繁地表现出致病特征。局部战争期间导致肺炎发生的主要因素是因着凉、压力和过度劳累以及未经治疗的急性呼吸道疾病导致机体抵抗力下降。

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