关注军团菌肺炎诊治中易被忽视的临床问题  

Pay attention to clinical issues easy to be neglected in diagnosis and treatment of Legionella pneumonia

作　　者：陈愉[1] 芦烨[1] CHEN Yu;LU Ye(Department of Pulmonary and Critical Care Medicine,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院呼吸与危重症医学科,辽宁沈阳110004

出　　处：《内科理论与实践》2024年第1期6-12,共7页Journal of Internal Medicine Concepts & Practice

基　　金：国家自然科学基金项目(81170009)。

摘　　要：军团菌肺炎常快速进展,病死率高。随着检测技术的进步,近年来军团菌的检出率较前有所增高,但仍有漏诊的病例,延误治疗是患者死亡的原因之一。因此,早期识别军团菌肺炎的临床特点、及时进行恰当的治疗至关重要。虽然军团菌肺炎某些特征已被临床所认知,但仍存在诸多被忽视的问题。本文旨在全面回顾军团菌肺炎的临床表现、辅助检查和治疗策略,提高临床医师对该病诊治的认识,以改善患者预后。Legionella pneumonia usually develops rapidly and has a high mortality.With the advancements of detection technology,the rate of identifying Legionella infections increases in recent years.However,misdiagnosis of the disease still exists,and delayed treatment is one of the reasons for patient death.Therefore,it’s crucial to identify the clinical characteristics of Legionella pneumonia early and provide timely and appropriate treatment.Although some clinical features of Legionella pneumonia have been clinically recognized,many issues still have been overlooked.This paper is a comprehensive review of the clinical manifestations,auxiliary examinations and treatment strategies of Legionella pneumonia,and it aims to improve clinicians’understanding of the diagnosis and treatment of the disease to make patients’prognosis better.

关 键 词：军团菌肺炎 临床诊治 

分 类 号：R563.1[医药卫生—呼吸系统]