Finch R
City Hospital, Nottingham.
J R Coll Physicians Lond. 1998 Jul-Aug;32(4):328-32.
CAP affects all ages but predominantly the elderly. The microbial aetiology is diverse and rarely established at the time of admission. Initial management includes assessment of severity, correction of dehydration and imbalances of gas exchange, and prompt administration of antibiotic. The regimens will vary by risk factor and severity assessment. Mortality remains high, especially in those requiring intensive care. Prevention includes control of underlying disease, smoking and ethanol abuse, and the appropriate use of influenza and pneumococcal vaccines.
社区获得性肺炎影响所有年龄段,但以老年人为主。微生物病因多种多样,入院时很少能明确。初始治疗包括评估严重程度、纠正脱水和气体交换失衡,以及迅速给予抗生素。治疗方案会因风险因素和严重程度评估而有所不同。死亡率仍然很高,尤其是在那些需要重症监护的患者中。预防措施包括控制基础疾病、吸烟和酗酒,以及适当使用流感疫苗和肺炎球菌疫苗。