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肺炎君：自古深情留不住，唯有口诀得人心！

2018-05-19 医考君 医考之声

肺炎君深情口诀
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肺炎就是肺实质有炎症反应也就是终末支气管、肺泡和肺间质的炎症很多人认为，肺炎就是细菌、病毒等感染了其实不然比如各种理化物质导致的吸入性肺炎射线导致的放射性肺炎免疫因素导致的免疫相关性肺炎等等我们这里只讲由病原微生物导致的肺炎讲5个肺炎链球菌肺炎、葡萄球菌肺炎、支原体肺炎、病毒性肺炎、克雷伯杆菌肺炎肺炎是病原体感染，那么病原体怎么进入肺内的呢感染途径：4条路定植误吸、空气吸入、邻近感染蔓延、血行播散

肺炎

就是肺实质有炎症反应

也就是终末支气管、肺泡和肺间质的炎症

很多人认为，肺炎就是细菌、病毒等感染了

其实不然

比如各种理化物质导致的吸入性肺炎

射线导致的放射性肺炎

免疫因素导致的免疫相关性肺炎等等

我们这里只讲

由病原微生物导致的肺炎

讲5个肺炎

链球菌肺炎、葡萄球菌肺炎、

支原体肺炎、病毒性肺炎、克雷伯杆菌肺炎

肺炎是病原体感染，那么

病原体怎么进入肺内的呢

感染途径：4条路

定植误吸、空气吸入、邻近感染蔓延、血行播散

一般不通过淋巴途径播散

记忆口诀：

吸空邻血，永不留巴（淋巴）

其中，空气吸入是最主要的途径

得个肺炎，还讲究风水

患病的方位不一样，致病菌也不一样

在医院外面得病的叫社区获得性肺炎

在医院内得的病叫做医院获得性肺炎

①  社区获得性肺炎(CAP)

在社区感染的肺炎或

入院后，在潜伏期内发生的肺炎

我们都知道

病原体感染有一个潜伏期

他要潜伏在肺内繁殖几天

达到一定的病菌数量

才会让人体产生症状

这就叫潜伏期

CAP常见的感染病原体是：

口诀：院外练支一流兵

链球菌、支原体、衣原体、

流感嗜血杆菌、病毒

②  医院获得性肺炎（HAP）

就是在院内且不再潜伏期内

而于入院48小时后发生的肺炎

我们需要明白的是

HAP不单指医院里“传染”所得的肺炎

在住院期间

患者疾病、手术、等免疫降低时

口咽部定植菌吸入

是最主要感染来源和途径

HAP常见的感染病原体

口诀：

院内有金铜常摆

玩（无）球很溜的金大伯

有感染高危因素：

金葡菌、铜绿假单胞菌、大肠杆菌、克雷伯杆菌

无感染高危因素：

肺炎球菌、流感嗜血杆菌、金葡菌

大肠杆菌、克雷伯杆菌

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  1. [GetPortalCommentsPageByObjectIdResponse(id=316809, encodeId=456831680980, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=3, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sun May 20 06:55:55 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316803, encodeId=9c23316803bc, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sun May 20 06:34:44 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316684, encodeId=91bc31668481, content=肺炎就是肺实质有炎症反应也就是终末支气管.肺泡和肺间质的炎症很多人认为.肺炎就是细菌.病毒等感染了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sat May 19 20:55:10 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316683, encodeId=f9d0316683bf, content=这样记知识不容易少.也不容易记叉!, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/23/8c541a9831aec7026dffdf6bf34ab45d.jpg, createdBy=11371963624, createdName=兰焱雨, createdTime=Sat May 19 20:55:01 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316667, encodeId=d8f031666e35, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/5cZdfXExiaicslh7sWK3E9TUQsZyLB4Nzns1nspXDPysicicVXRhcN1owtSjE6JZ8ruXUXVgLXgKq7kcuLwvA11vOw/132, createdBy=9a9e1939628, createdName=潮来潮去_6666, createdTime=Sat May 19 19:23:33 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316663, encodeId=799431666391, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Sat May 19 18:54:00 CST 2018, time=2018-05-19, status=1, ipAttribution=)]
    2018-05-20 张新亮1853311252142e2fm

    好文献学习了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=316809, encodeId=456831680980, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=3, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sun May 20 06:55:55 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316803, encodeId=9c23316803bc, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sun May 20 06:34:44 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316684, encodeId=91bc31668481, content=肺炎就是肺实质有炎症反应也就是终末支气管.肺泡和肺间质的炎症很多人认为.肺炎就是细菌.病毒等感染了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sat May 19 20:55:10 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316683, encodeId=f9d0316683bf, content=这样记知识不容易少.也不容易记叉!, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/23/8c541a9831aec7026dffdf6bf34ab45d.jpg, createdBy=11371963624, createdName=兰焱雨, createdTime=Sat May 19 20:55:01 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316667, encodeId=d8f031666e35, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/5cZdfXExiaicslh7sWK3E9TUQsZyLB4Nzns1nspXDPysicicVXRhcN1owtSjE6JZ8ruXUXVgLXgKq7kcuLwvA11vOw/132, createdBy=9a9e1939628, createdName=潮来潮去_6666, createdTime=Sat May 19 19:23:33 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316663, encodeId=799431666391, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Sat May 19 18:54:00 CST 2018, time=2018-05-19, status=1, ipAttribution=)]
    2018-05-20 15938038573红旗飘飘

    已学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=316809, encodeId=456831680980, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=3, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sun May 20 06:55:55 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316803, encodeId=9c23316803bc, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sun May 20 06:34:44 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316684, encodeId=91bc31668481, content=肺炎就是肺实质有炎症反应也就是终末支气管.肺泡和肺间质的炎症很多人认为.肺炎就是细菌.病毒等感染了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sat May 19 20:55:10 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316683, encodeId=f9d0316683bf, content=这样记知识不容易少.也不容易记叉!, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/23/8c541a9831aec7026dffdf6bf34ab45d.jpg, createdBy=11371963624, createdName=兰焱雨, createdTime=Sat May 19 20:55:01 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316667, encodeId=d8f031666e35, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/5cZdfXExiaicslh7sWK3E9TUQsZyLB4Nzns1nspXDPysicicVXRhcN1owtSjE6JZ8ruXUXVgLXgKq7kcuLwvA11vOw/132, createdBy=9a9e1939628, createdName=潮来潮去_6666, createdTime=Sat May 19 19:23:33 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316663, encodeId=799431666391, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Sat May 19 18:54:00 CST 2018, time=2018-05-19, status=1, ipAttribution=)]
    2018-05-19 有备才能无患

    肺炎就是肺实质有炎症反应也就是终末支气管.肺泡和肺间质的炎症很多人认为.肺炎就是细菌.病毒等感染了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=316809, encodeId=456831680980, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=3, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sun May 20 06:55:55 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316803, encodeId=9c23316803bc, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sun May 20 06:34:44 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316684, encodeId=91bc31668481, content=肺炎就是肺实质有炎症反应也就是终末支气管.肺泡和肺间质的炎症很多人认为.肺炎就是细菌.病毒等感染了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sat May 19 20:55:10 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316683, encodeId=f9d0316683bf, content=这样记知识不容易少.也不容易记叉!, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/23/8c541a9831aec7026dffdf6bf34ab45d.jpg, createdBy=11371963624, createdName=兰焱雨, createdTime=Sat May 19 20:55:01 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316667, encodeId=d8f031666e35, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/5cZdfXExiaicslh7sWK3E9TUQsZyLB4Nzns1nspXDPysicicVXRhcN1owtSjE6JZ8ruXUXVgLXgKq7kcuLwvA11vOw/132, createdBy=9a9e1939628, createdName=潮来潮去_6666, createdTime=Sat May 19 19:23:33 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316663, encodeId=799431666391, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Sat May 19 18:54:00 CST 2018, time=2018-05-19, status=1, ipAttribution=)]
    2018-05-19 兰焱雨

    这样记知识不容易少.也不容易记叉!

    0

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    2018-05-19 潮来潮去_6666

    学习了

    0

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    2018-05-19 329523732

    不错

    0