Severe Community-Acquired Pneumonia
Severe Community-Acquired Pneumonia
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DOI：
10.1016/j.ccc.2013.03.009
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发表时间：
2013-07-01
影响因子：
4.3
通讯作者：
Marrie, Thomas J.
中科院分区：
文献类型：
--
作者：
Sligl, Wendy I.;Marrie, Thomas J.
需要入住重症监护病房的严重社区获得性肺炎与高发病率、死亡率和医疗费用有关。本文旨在总结这种常见危及生命疾病的流行病学、诊断、治疗和预后。回顾了当前的实践指南以及用于预测 CAP 严重程度、预后和护理地点的多个评分系统（例如 PSI、CURB-65 和 IDSA/ATS 标准）的作用。此外，还讨论了常见并发症和预防策略。
Severe community-acquired pneumonia necessitating intensive care unit admission is associated with high morbidity, mortality, and health-care cost. This review article serves to summarize the epidemiology, diagnosis, treatment, and prognosis of this common life-threatening condition. Current practice guidelines as well as the role of several scoring systems (such as the PSI, CURB-65, and IDSA/ATS criteria) used to predict CAP severity, prognosis, and site of care are reviewed. In addition, common complications and prevention strategies are discussed.