无反应性社区获得性肺炎的诊治进展

摘要

Non-responding pneumonia describes the situation, in which an inadequate clinical response is present de-spite antibiotic treatment. The incidence of treatment failure in community acquired pneumonia (CAP) can range up to 31%. At present, the diagnosis and treatment of this kind of disease remain a great challenge to CAP. For this reason, several stud-ies have attempted to establish risk factors and new strategies for the treatment of non-responding pneumonia. This article re-views the progress of the pathogeny and treatment of non-responding CAP.%无反应性社区获得性肺炎(CAP)是指患者接受初始感染治疗后,病情无好转或恶化,其在CAP中的比例可达到30%.目前,对这类患者的诊断和治疗仍为CAP的难点.有关研究试图确定这部分患者的高危因素,并提出进一步诊治方案.本文对目前无反应性CAP的病因和诊治进展进行综述.