脊髓损伤患者的急性呼吸道感染
Acute respiratory infections in persons with spinal cord injury.
作者信息
Burns Stephen P
机构信息
Spinal Cord Injury Service (128), VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, USA.
出版信息
Phys Med Rehabil Clin N Am. 2007 May;18(2):203-16, v-vi. doi: 10.1016/j.pmr.2007.02.001.
Abstract
Respiratory disorders are the leading cause of death for persons with both acute and chronic spinal cord injury (SCI), and much of the morbidity and mortality associated with respiratory disorders is related to acute respiratory infections. Pneumonia is the best recognized respiratory infection associated with mortality in this population. Recent evidence supports some management strategies that differ from those recommended for the general population. Upper respiratory tract infections and acute bronchitis may be precipitating factors in the development of pneumonia or ventilatory failure in patients with chronic SCI. This review emphasizes management principles for treatment and prevention of respiratory infections in persons with SCI.
摘要
呼吸系统疾病是急性和慢性脊髓损伤（SCI）患者的主要死因，与呼吸系统疾病相关的许多发病率和死亡率都与急性呼吸道感染有关。肺炎是该人群中最被认可的与死亡率相关的呼吸道感染。最近的证据支持一些与针对普通人群推荐的管理策略不同的策略。上呼吸道感染和急性支气管炎可能是慢性SCI患者发生肺炎或呼吸衰竭的诱发因素。本综述强调了脊髓损伤患者呼吸道感染治疗和预防的管理原则。
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J Spinal Cord Med. 2007;30(4):355-61. doi: 10.1080/10790268.2007.11753951.
2
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Am J Phys Med Rehabil. 2006 Sep;85(9):718-26. doi: 10.1097/01.phm.0000223403.94148.67.
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