BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 近期肺炎
  • 全身症状
  • 发热和寒战

其他诊断因素

  • 亚急性起病
  • 排痰性咳嗽
  • 胸膜炎性胸痛
  • 呼吸困难

危险因素

  • 肺炎
  • 胸膜腔内医源性操作
  • 胸部外伤
  • 免疫功能受损状态

诊断性检查

首要检查

  • 血液培养
  • C 反应蛋白 (CRP)
  • 白细胞 (WBC) 计数
  • 胸部 X 线检查
全部具体信息

需要考虑的检查

  • 造影剂胸部增强 CT
  • 胸部 MRI
  • PET 扫描
  • 胸水 PCR
全部具体信息

治疗流程

贡献者

Respiratory Physician

Royal Infirmary

Edinburgh

Scotland

UK

利益冲突披露
ADP declares that she has no competing interests.

Respiratory Consultant

Royal Infirmary

Edinburgh

Scotland

UK

利益冲突披露
RLR declares that she has no competing interests.

Respiratory Research Registrar

Churchill Hospital

Oxford

UK

利益冲突披露
NMR declares that Roche UK supplied clinical trial supplies and funding for the MIST2 trial that he conducted.

Dr Athanasia D. Pataka, Dr Renata L. Riha, and Dr Najib M. Rahman would like to gratefully acknowledge Dr Eleanor K. Mishra, a previous contributor to this topic.

利益冲突披露
EKM declares that she has no competing interests.

同行评议专家 查看所有

Professor of Medicine and Director

Division of Pulmonary/Critical Care/Allergy/Sleep Medicine

Medical University of South Carolina

Charleston

SC

利益冲突披露
SS declares that he has no competing interests.

Senior Lecturer and Consultant Physician

North Bristol Lung Centre

Southmead Hospital

Bristol

UK

利益冲突披露
NM declares that he has no competing interests.

Consultant Chest Physician and Senior Lecturer

Oxford Centre for Respiratory Medicine and University of Oxford Churchill Hospital

Oxford

UK

利益冲突披露
YCGL declares that he has no competing interests.

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