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　　三九養(yǎng)生堂記者 鄧肯·蓋伊 報道

精彩|　　支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)是??(shi)否??(fou)會??(hui)出??(chu)現(xiàn)?(xian)“白??(bai)肺??(fei)”？??徐??(xu)保??(bao)平??(ping)認?(ren)為?(wei)??，有??(you)的??(de)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)患??(huan)者??(zhe)??，肺??(fei)部??(bu)影??(ying)像?(xiang)上??(shang)顯??(xian)示??(shi)有??(you)一??(yi)片??(pian)白??(bai)色??(se)??，大??(da)多??(duo)是??(shi)一??(yi)個??(ge)肺??(fei)葉??(ye)或??(huo)肺?(fei)段??(duan)感??(gan)染??(ran)所??(suo)致??(zhi)??，這??(zhe)和??(he)醫(yī)??(yi)學(xué)?(xue)上??(shang)所??(suo)說??(shuo)的??(de)“白?(bai)肺??(fei)”是??(shi)兩??(liang)個??(ge)概??(gai)念?(nian)??。??通??(tong)常??(chang)來??(lai)說??(shuo)??，“白??(bai)肺??(fei)”是??(shi)指??(zhi)雙??(shuang)肺??(fei)彌??(mi)漫??(man)性??(xing)病??(bing)變??(bian)??，主?(zhu)要?(yao)發(fā)??(fa)生?(sheng)在??(zai)重??(zhong)癥??(zheng)感??(gan)染??(ran)時??(shi)??，其??(qi)癥??(zheng)狀??(zhuang)和??(he)嚴??(yan)重??(zhong)程?(cheng)度??(du)都??(dou)與??(yu)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)有??(you)所??(suo)不??(bu)同??(tong)???！　≈?(zhi)原??(yuan)體??(ti)感??(gan)染?(ran)或??(huo)肺??(fei)炎?(yan)有??(you)什??(shen)么??(me)癥??(zheng)狀??(zhuang)？??治??(zhi)療??(liao)藥??(yao)物??(wu)有??(you)哪??(na)些??(xie)？徐??(xu)保?(bao)平??(ping)說??(shuo)?，支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)的??(de)主??(zhu)要??(yao)癥??(zheng)狀??(zhuang)有??(you)兩??(liang)個??(ge)：一??(yi)是??(shi)發(fā)?(fa)熱??(re)?，二??(er)是??(shi)咳??(ke)嗽??(sou)??。?其??(qi)中??(zhong)?，咳??(ke)嗽??(sou)初??(chu)起?(qi)是??(shi)陣??(zhen)發(fā)??(fa)性??(xing)干??(gan)咳?(ke)?，進??(jin)展??(zhan)中??(zhong)會??(hui)有??(you)咯??(ge)痰??(tan)??。有??(you)人?(ren)會?(hui)出??(chu)現(xiàn)??(xian)胸??(xiong)痛??(tong)、咽??(yan)痛??(tong)、頭??(tou)痛?(tong)等??(deng)癥??(zheng)狀??(zhuang)?，少??(shao)數(shù)??(shu)人??(ren)出??(chu)現(xiàn)??(xian)紫?(zi)紺??(gan)、呼??(hu)吸??(xi)困?(kun)難??(nan)等??(deng)現(xiàn)??(xian)象??(xiang)?，應(yīng)??(ying)及??(ji)時??(shi)到??(dao)醫(yī)??(yi)院??(yuan)就??(jiu)診??(zhen)??。目??(mu)前??(qian)?，一?(yi)線??(xian)治??(zhi)療??(liao)藥??(yao)物??(wu)主??(zhu)要??(yao)是??(shi)大?(da)環(huán)??(huan)內(nèi)??(nei)酯??(zhi)類??(lei)抗??(kang)生??(sheng)素??(su)?，常??(chang)用??(yong)的??(de)有??(you)阿??(e)奇??(qi)霉??(mei)素??(su)、紅??(hong)霉??(mei)素??(su)、克??(ke)拉?(la)霉??(mei)素??(su)等??(deng)??。抗??(kang)生??(sheng)素??(su)類??(lei)藥??(yao)物??(wu)屬??(shu)于??(yu)處??(chu)方??(fang)藥??(yao)?，需??(xu)要??(yao)在??(zai)醫(yī)??(yi)生??(sheng)的??(de)指??(zhi)導(dǎo)??(dao)下??(xia)用??(yong)藥??(yao)??。在??(zai)臨??(lin)床??(chuang)上??(shang)?，有??(you)的??(de)兒??(er)童??(tong)出??(chu)現(xiàn)??(xian)耐??(nai)藥??(yao)現(xiàn)??(xian)象??(xiang)?，治??(zhi)療??(liao)效??(xiao)果??(guo)不??(bu)太??(tai)好?(hao)??。研??(yan)究??(jiu)顯??(xian)示??(shi)?，在??(zai)支??(zhi)原?(yuan)體??(ti)感??(gan)染?(ran)或??(huo)肺?(fei)炎??(yan)治??(zhi)療??(liao)上??(shang)?，耐??(nai)藥??(yao)者??(zhe)和??(he)不??(bu)耐??(nai)藥??(yao)者??(zhe)并??(bing)沒??(mei)有??(you)太??(tai)大??(da)差??(cha)異??(yi)??。主?(zhu)要??(yao)差??(cha)異??(yi)是??(shi)耐??(nai)藥??(yao)者??(zhe)的??(de)退??(tui)熱??(re)時??(shi)間??(jian)延??(yan)后??(hou)、病??(bing)程??(cheng)較??(jiao)長??(chang)?，但??(dan)重??(zhong)癥??(zheng)的??(de)比??(bi)例??(li)差??(cha)別??(bie)不??(bu)明??(ming)顯??(xian)??。

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