Waterer Grant
School of Medicine and Pharmacology and Lung Institute of Western Australia, University of Western Australia, Perth, Australia.
Northwestern University, Chicago, IL, USA.
Breathe (Sheff). 2021 Sep;17(3):210087. doi: 10.1183/20734735.0087-2021.
The diagnosis of pneumonia is both simple and complex. Recent research is challenging our concept of pneumonia and radiological gold standards that have underpinned research for decades. In particular, the accuracy of chest radiographs in diagnosing pneumonia is now highly questionable when compared with computed tomography scans. Depending on the question being asked, pneumonia can be defined in clinical, pathological, radiological, or microbiological contexts, or frequently a combination of all of these. However, while the field is changing, until we have new studies defining pneumonia in new ways, clinicians can be reassured that existing guidelines based on "old" standards remain as valid as they have always been.
肺炎的诊断既简单又复杂。最近的研究正在挑战我们对于肺炎的概念以及支撑了数十年研究的放射学金标准。特别是，与计算机断层扫描相比，胸部X光片在诊断肺炎方面的准确性如今备受质疑。根据所提出的问题，肺炎可以在临床、病理、放射学或微生物学背景下定义，或者常常是所有这些方面的综合。然而，尽管该领域在不断变化，但在我们有以新方式定义肺炎的新研究之前，临床医生可以放心，基于“旧”标准的现有指南仍然一如既往地有效。
