免疫妥协宿主肺部感染的诊断思维  

Diagnostic procedures in pulmonary infection of the immunocompromised hosts.

作　　者：侯刚[1] 康健[1] 

机构地区：[1]中国医科大学附属第一医院呼吸内科,沈阳110001

出　　处：《中国实用内科杂志》2009年第8期697-699,702,共4页Chinese Journal of Practical Internal Medicine

摘　　要：免疫妥协宿主(ICH)是当前日益得到重视的特殊群体,易发生感染,尤其是条件致病菌的感染,而且感染的病死率高。但ICH感染的临床表现和影像学特点不典型,且缺少特异性,故较难及时正确地诊断。及时正确的诊断及对治疗的有效评估是降低ICH并发感染病死率的首要条件,本文简要概括ICH肺部感染的诊断思维,阐述了ICH的认定及评估的重点环节、ICH肺部感染的鉴别诊断原则及ICH肺部阴影的临床评估程序。Immunocompromised hosts （ ICH ） is a particular population drawing more current attention with the susceptibil- ity to infections, especially to the opportunistic pathogens. When infections occur in ICH, the mortality increases significantly. The clinical manifestations and radiological characteristics are untypical and non-specific, so the correct diagnosis in good time is arduous. But the rapid and correct diagnosis is primary and principle to lower the mortality of the infections of ICH, so this article aims to generalize the diagnosis phronesis of pulmonary infections of ICH-to elaborate the key points of the assessment and evaluation of ICH;the principle of differential diagnosis of pulmonary infections in ICH;clinical evaluation program of the pulmonary infihration in ICH.

关 键 词：肺部感染 免疫妥协 

分 类 号：R5[医药卫生—内科学]