三九養(yǎng)生堂記者 鄧肯·蓋伊 報道
精彩| 劉??(liu)峰??(feng)：支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)病??(bing)原?(yuan)體??(ti)有??(you)特??(te)殊??(shu)性??(xing)??，因??(yin)其?(qi)沒??(mei)有??(you)細(xì)??(xi)胞??(bao)壁??(bi)??，所??(suo)以??(yi)平??(ping)時??(shi)常??(chang)用??(yong)的??(de)作??(zuo)用?(yong)于??(yu)細(xì)??(xi)胞??(bao)壁??(bi)的??(de)青??(qing)霉??(mei)素??(su)類??(lei)、頭??(tou)孢??(bao)類??(lei)抗??(kang)菌??(jun)藥??(yao)物??(wu)對??(dui)其?(qi)無??(wu)效??(xiao)??。??目??(mu)前?(qian)??，根?(gen)據(jù)??(ju)國??(guo)家??(jia)衛(wèi)??(wei)生??(sheng)健??(jian)康??(kang)委??(wei)員??(yuan)會??(hui)印??(yin)發(fā)??(fa)的??(de)《兒??(er)童??(tong)肺??(fei)炎??(yan)支??(zhi)原?(yuan)體??(ti)肺??(fei)炎??(yan)診??(zhen)療??(liao)指??(zhi)南??(nan)(2023 年??(nian)版??(ban))》(下??(xia)稱??(cheng)：《指??(zhi)南??(nan)》)??，包??(bao)括??(kuo)阿??(e)奇??(qi)霉??(mei)素??(su)、克?(ke)拉??(la)霉?(mei)素?(su)、紅??(hong)霉?(mei)素??(su)、羅??(luo)紅??(hong)霉??(mei)素??(su)等??(deng)的??(de)大??(da)環(huán)??(huan)內(nèi)??(nei)酯??(zhi)類??(lei)抗??(kang)菌??(jun)藥??(yao)物??(wu)為??(wei)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)的??(de)首??(shou)選?(xuan)治??(zhi)療??(liao)???！ 昂??(hai)子?(zi)開??(kai)始??(shi)可??(ke)能??(neng)有??(you)高??(gao)燒??(shao)??，然??(ran)后?(hou)咳??(ke)嗽??(sou)??，早??(zao)期??(qi)到??(dao)醫(yī)??(yi)院??(yuan)去?(qu)聽??(ting)診?(zhen)可??(ke)能??(neng)是??(shi)沒??(mei)有??(you)體??(ti)征??(zheng)的??(de)??。?但??(dan)往??(wang)往??(wang)出??(chu)現(xiàn)??(xian)高??(gao)熱??(re)不?(bu)退??(tui)??，咳??(ke)嗽?(sou)比??(bi)較??(jiao)厲??(li)害??(hai)的??(de)話??(hua)??，醫(yī)??(yi)生??(sheng)會??(hui)給??(gei)他??(ta)拍??(pai)一??(yi)張??(zhang)胸??(xiong)片??(pian)??，胸??(xiong)片??(pian)就?(jiu)提??(ti)示??(shi)大??(da)片??(pian)的??(de)實??(shi)變??(bian)???！眲?(liu)峰??(feng)主??(zhu)任??(ren)表??(biao)示?(shi)??，如??(ru)果??(guo)結(jié)??(jie)合??(he)孩??(hai)子??(zi)正??(zheng)處??(chu)在??(zai)學(xué)??(xue)齡??(ling)前?(qian)期??(qi)或??(huo)學(xué)??(xue)齡??(ling)期?(qi)??，就??(jiu)考??(kao)慮??(lv)很?(hen)大??(da)可?(ke)能??(neng)是??(shi)傳??(chuan)染??(ran)了??(le)支??(zhi)原?(yuan)體??(ti)肺??(fei)炎??(yan)??。繼??(ji)而??(er)進(jìn)??(jin)行??(xing)支??(zhi)原??(yuan)體??(ti)的??(de)核??(he)酸??(suan)檢??(jian)測??(ce)或??(huo)者??(zhe)抗??(kang)體??(ti)的?(de)檢?(jian)測??(ce)??，可??(ke)以??(yi)進(jìn)??(jin)一?(yi)步??(bu)明??(ming)確??(que)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)的??(de)診??(zhen)斷??(duan)???！暗??(dan)今?(jin)年??(nian)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)與??(yu)普?(pu)通??(tong)肺??(fei)炎??(yan)相??(xiang)比??(bi)重??(zhong)癥??(zheng)率?(lv)更??(geng)高??(gao)、并??(bing)發(fā)??(fa)癥??(zheng)也??(ye)更??(geng)多?(duo)??。”專??(zhuan)家??(jia)告??(gao)訴??(su)記??(ji)者??(zhe)??，今?(jin)年??(nian)出??(chu)現(xiàn)??(xian)了??(le)不??(bu)少??(shao)罕??(han)見??(jian)的??(de)并??(bing)發(fā)??(fa)癥??(zheng)??，像??(xiang)肺??(fei)栓??(shuan)塞??(sai)、肺??(fei)壞??(huai)死??(si)、壞??(huai)死??(si)性??(xing)肺??(fei)炎??(yan)??，這??(zhe)類??(lei)并??(bing)發(fā)??(fa)癥??(zheng)往??(wang)年??(nian)也??(ye)是??(shi)比??(bi)較??(jiao)少??(shao)見??(jian)的??(de)??。很??(hen)多??(duo)肺??(fei)栓??(shuan)塞??(sai)、肺??(fei)壞??(huai)死??(si)的??(de)患??(huan)兒??(er)就??(jiu)是??(shi)在??(zai)實??(shi)變??(bian)基??(ji)礎(chǔ)??(chu)上??(shang)進(jìn)??(jin)一?(yi)步??(bu)更??(geng)加??(jia)嚴(yán)??(yan)重??(zhong)??。
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