Renolleau S, Costil J
Réanimation polyvalente pédiatrique, Hôpital Armand, Trousseau, Paris.
Rev Prat. 1996 Nov 1;46(17):2094-7.
Pneumonia in immunodeficient child is a frequent and dramatic event, with a high risk of mortality. Pneumonia requires immediate management. Multiplicity of causes makes diagnosis difficult. Broncho-alveolar lavage must be the first investigation to carry out while waiting for the results of investigations, rapid and efficient treatment is based on probabilistic reasoning which must take the type of immunodeficiency into account. Prophylaxis is still the best way to improve prognosis of pneumonia in immunodeficient children.
免疫缺陷儿童患肺炎是常见且严重的事件，死亡率很高。肺炎需要立即进行处理。病因的多样性使得诊断困难。在等待检查结果时，支气管肺泡灌洗必须是首先要进行的检查，快速有效的治疗基于概率推理，这必须考虑免疫缺陷的类型。预防仍然是改善免疫缺陷儿童肺炎预后的最佳方法。
