成人吸入性肺炎诊断和治疗专家建议  

Expert task force on diagnosis and treatment of aspiration pneumonia in adults

作　　者：佘君[2] 丁建文 申捷[3] 成人吸入性肺炎诊断和治疗专家组 She Jun;Ding Jianwen;Shen Jie;Expert Group on the Diagnosis and Treatment of Adult Aspiration Pneumonia(不详;Department of Respiratory and Critical Care Medicine,Zhongshan Hospital,Fudan University,Shanghai Respiratory Diseases Institution,Shanghai Key Laboratory of Lung Inflammation and Injury,Shanghai 200032,China;Center of Emergency and Critical Medicine in Jinshan Hospital of Fudan University,Research Center for Chemical Injury,Emergency and Critical Medicine of Fudan University,Key Laboratory of Chemical Injury,Emergency and Critical Medicine of Shanghai Municipal Health Commission,Shanghai 201508,China)

机构地区：[1]不详 [2]复旦大学附属中山医院呼吸与危重症医学科上海市呼吸病研究所上海市肺部炎症与损伤重点实验室,上海200032 [3]复旦大学附属金山医院急危重病中心复旦大学化学伤害与急危重病研究中心上海市卫生健康委员会化学伤害急危重病医学重点实验室,上海201508

出　　处：《国际呼吸杂志》2022年第2期86-96,共11页International Journal of Respiration

基　　金：上海市公共卫生体系建设三年行动计划(2020-2022年)重点学科(GWV-10.1-XK26);上海市金山区医学重点专科建设项目A类(JSZK2019A01);复旦大学附属金山医院人才队伍建设三年行动计划学科平台建设(XPT-2020-3);重症肺炎多学科合作诊治体系的构建(W2020-013)。

摘　　要：吸入性肺炎临床表现复杂,病因多呈隐匿性,易被漏诊误诊。由于吸入性肺炎病因有别于社区/医院获得性肺炎等,因此其针对性诊断、治疗方法与其他类型肺炎有所不同。成人吸入性肺炎诊断和治疗专家组对吸入性肺炎的流行病学、危险因素、病原学特点、病理生理、临床特征、诊断、治疗和预防等进行归纳、总结,为吸入性肺炎的诊治提供合理有效的解决方案。Aspiration pneumonia,with complex clinical features,is easy to be missed and misdiagnosed because its etiology is mostly hidden.The methods of diagnosis and treatment are different from community/hospital acquired pneumonia due to different etiology.Robust diagnostic criteria for aspiration pneumonia is lacking so far,therefore,experts′suggestions on aspiration pneumonia in adults are needed.This paper is a comprehensive overview of the epidemiology,risk factors,etiological characteristics,pathophysiology,clinical characteristics,diagnosis,treatment and prevention of aspiration pneumonia in adults,so as to provide reasonable and effective solutions for the diagnosis and treatment of aspiration pneumonia.

关 键 词：肺炎 吸入性 诊断 治疗 成人 

分 类 号：R563.1[医药卫生—呼吸系统]