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
  • 发热
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其他诊断因素

  • 心动过速
  • 呼吸急促
  • 低血压
  • 低毛细血管再灌注
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危险因素

  • 中心静脉导管的使用
  • 广谱抗生素的使用
  • 血液透析
  • 手术
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诊断性检查

首要检查

  • 血培养
  • 全血细胞计数
  • 动脉血气
  • 乳酸水平
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需要考虑的检查

  • β-1，3葡聚糖
  • T2 磁共振分析
  • 组织活检
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新兴检查

  • 聚合酶链式反应（PCR)
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治疗流程

推断

疑似诊断

急性

确诊：非中性粒细胞减少患者（无并发症）

确诊：中性粒细胞减少（无并发症）

确诊：有并发症

贡献者

作者 查看所有

Dean and Professor of Medicine

Wayne State University School of Medicine

Detroit

MI

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

Professor of Medicine

Division of Infectious Diseases

Wayne State University School of Medicine

Detroit

MI

利益冲突披露
SR has received grants for research from Astellas, Gilead, and Merck, and is involved in clinical trials for Cidara.

同行评议专家 查看所有

Professor of Medicine

Department of Medicine

Medical College of Georgia

Augusta

GA

利益冲突披露
JF is an author of a number of references cited in this monograph. JF is a member of the speaker's bureau for the following companies: Pfizer, Merck, and Astellas.

Praticien hospitalier

Service de medecine de la Transplantation et d'Immunologie clinique

Hopital Edouard Herriot

Lyon

France

利益冲突披露
JML has been invited by Astellas, the manufacturer of micafungin, to attend a symposium, and invited by Gilead Sciences, manufacturer of liposomal amphotericin B, to attend different HIV conferences, and has been paid by Gilead Sciences for running HIV educational programs.

Director

Alfa Institute of Biomedical Sciences

Marousi

Athens

Greece

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

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