Boldt M D, Kiresuk T
North Memorial Medical Center, College of St. Catherine, St. Paul, Minn., USA.
Nurse Pract. 2001 Nov;26(11):14-6, 19-23; quiz 24-5. doi: 10.1097/00006205-200111000-00003.
The incidence and mortality rates of community-acquired pneumonia (CAP) continue to rise as patients age. The clinical presentation of CAP is variable; therefore, diagnosis can be challenging. Clinicians must rely on a careful history and physical examination when choosing empirical antibiotic treatment. Using current guidelines, this article discusses the pathogenesis, clinical presentation, differential diagnosis, prognosis, and treatment of adults with CAP in the primary care setting.
随着患者年龄增长,社区获得性肺炎(CAP)的发病率和死亡率持续上升。CAP的临床表现多样,因此诊断具有挑战性。临床医生在选择经验性抗生素治疗时必须依靠仔细的病史采集和体格检查。本文依据现行指南,讨论了基层医疗环境中成人CAP的发病机制、临床表现、鉴别诊断、预后及治疗。