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　　三九養(yǎng)生堂記者 鄧肯·蓋伊 報道

精彩|　　而??(er)支??(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)拍??(pai)一??(yi)張??(zhang)片??(pian)子??(zi)顯??(xian)示??(shi)肺??(fei)部??(bu)“一??(yi)片??(pian)白?(bai)”??，其??(qi)實??(shi)是??(shi)一?(yi)大??(da)片??(pian)的??(de)實??(shi)變??(bian)和??(he)不??(bu)張??(zhang)??。??肺??(fei)不??(bu)張??(zhang)是??(shi)指??(zhi)一??(yi)個??(ge)或??(huo)多??(duo)個??(ge)肺??(fei)段??(duan)及??(ji)肺??(fei)葉??(ye)的??(de)容?(rong)量??(liang)或??(huo)含??(han)氣??(qi)量??(liang)減??(jian)少??(shao)??。支??(zhi)原??(yuan)體??(ti)肺?(fei)炎?(yan)最??(zui)大??(da)的??(de)影?(ying)響??(xiang)其??(qi)實??(shi)是?(shi)可??(ke)能??(neng)留??(liu)有??(you)遠??(yuan)期??(qi)的??(de)后??(hou)遺??(yi)癥??(zheng)??，特??(te)別??(bie)是??(shi)影??(ying)像??(xiang)學(xué)?(xue)結(jié)??(jie)果??(guo)比??(bi)較??(jiao)嚴??(yan)重??(zhong)的??(de)患??(huan)兒??(er)??。比??(bi)如??(ru)“肺??(fei)不??(bu)張??(zhang)”一??(yi)直??(zhi)不?(bu)吸??(xi)收??(shou)??，形??(xing)成??(cheng)支??(zhi)氣??(qi)管??(guan)擴?(kuo)張?(zhang)??，有??(you)壞??(huai)死??(si)甚??(shen)至??(zhi)栓??(shuan)塞??(sai)的??(de)概??(gai)率??(lv)??，這??(zhe)是??(shi)支?(zhi)原??(yuan)體??(ti)肺??(fei)炎??(yan)和??(he)其??(qi)他??(ta)的??(de)肺??(fei)炎??(yan)不??(bu)太??(tai)一??(yi)樣??(yang)的??(de)情??(qing)況??(kuang)???！　??(dui)于??(yu)網(wǎng)??(wang)上?(shang)廣??(guang)為??(wei)討??(tao)論??(lun)的??(de)“支??(zhi)原??(yuan)體??(ti)耐??(nai)藥??(yao)”情??(qing)況??(kuang)??，《指?(zhi)南??(nan)》中??(zhong)也??(ye)明??(ming)確??(que)指??(zhi)出?(chu)??，目??(mu)前??(qian)支??(zhi)原??(yuan)體??(ti)耐??(nai)藥??(yao)位??(wei)點??(dian)的??(de)檢??(jian)出?(chu)與祝(yu)臨??(lin)床??(chuang)療?(liao)效??(xiao)沒??(mei)有??(you)強?(qiang)相??(xiang)關(guān)?(guan)??。??通??(tong)俗??(su)來?(lai)說??(shuo)??，就??(jiu)是??(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)長祝(chang)??，但??(dan)重??(zhong)癥?(zheng)的??(de)比??(bi)例??(li)差??(cha)別??(bie)不??(bu)明??(ming)顯??(xian)??。所??(suo)以??(yi)目??(mu)前??(qian)臨??(lin)床??(chuang)上??(shang)還??(hai)是??(shi)推?(tui)薦??(jian)兒??(er)童??(tong)使??(shi)用??(yong)大??(da)環(huán)??(huan)內(nèi)??(nei)酯??(zhi)類??(lei)抗??(kang)生??(sheng)素??(su)進??(jin)行??(xing)治??(zhi)療??(liao)??。

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