肺炎重要性 中国肺炎病例数列全球第2 Table 2. the 15 countries with the highest estimated absolute number of new cases of clinical pneumonia Country Predicted no of Estimated incidence new cases(millions) (e/cy) India 43.0 0.37 China 21.1 Pakistan 9.8 0.41 Bangladesh 6.4 Nigeria 6.1 0.34 Indonesia 6.0 3.9 0.35 Democratic Republic of the Congo 3.9 0.39 Viet Nam 2.9 0.35 Philip 2.7 0.27 Suda 2.0 0.48 Afghanistan 2.0 0.45 United Republic of Tanzania 9 0.33 Myanmar .8 1.8 0.11 Bull who,200886(5):408
肺炎重要性 --中国肺炎病例数列全球第2 Bull WHO,2008;86(5):408
肺炎重要性 肺炎列全球年幼儿童死因第一位 Fig. 2. Distribution of deaths from pneumonia and other causes in children aged less than 5 years, by WHO region 44. milllon doat ses of deaths umo 1a Malara 08sl0s HIV/AIDS AFR Other AFR, African Region: AMR, Americas Region; EMR, Eastern Mediterranean Region: EUR, European Region: SEAR, South-East Asa Region; WPR, Westem Pacific Region Bull WHO,2008:86(5):408
Bull WHO,2008;86(5):408 肺炎重要性 --肺炎列全球年幼儿童死因第一位
Classification 1病原分类( by presumed or proven etiology bacterial or viral, mycoplasmal 2病程分类( by duration) 急性(acut <1个月 迁延性( prolonged)1~3个月 慢性( chronic)>3个月 3来源 by source 社区获得性肺炎院外或住院48h内 Community-acquired pneumonia, CAP 医院获得性肺炎住院48h后发生 Hospital-acquired pneumonia, HAP
Classification 1 病原分类 (by presumed or proven etiology) bacterial or viral, mycoplasmal …… 2 病程分类(by duration) 急性 (acute) <1个月 迁延性 (prolonged) 1~3个月 慢性 (chronic) >3个月 3 来源(by source ) 社区获得性肺炎 院外或住院48h内 Community-acquired pneumonia, CAP 医院获得性肺炎 住院48h后发生 Hospital-acquired pneumonia, HAP
Classification 4病理分类 by Pathology 大叶性lbar或节段性 segmental肺炎 支气管 bronchopneumonia或小叶性 lobular肺炎 间质性肺炎 interstitial pneumonia 5病情分类 by severity 轻症肺炎( mild pneumonia) 重症肺炎( severe pneumonIa) 呼吸系统严重受累,其它系统亦受累 中毒症状明显
Classification 4 病理分类 by Pathology 大叶性 lobar或节段性 segmental肺炎 支气管bronchopneumonia或小叶性lobular肺炎 间质性肺炎 interstitial pneumonia 5 病情分类 by severity 轻症肺炎(mild pneumonia) 重症肺炎(severe pneumonia) 呼吸系统严重受累，其它系统亦受累， 中毒症状明显
病因学常见致病原 1细菌:肺炎链球菌、流感嗜血杆菌、金黄色葡萄 球菌 2病毒:呼吸道合胞病毒(RSV)、腺病毒、流感病 毒、副流感病毒 3非典型菌:肺炎支原体、沙眼衣原体、肺炎衣原 体、嗜肺军团菌 4其它:结核分枝杆菌、卡氏肺囊肿、真菌等
病因学-常见致病原 1 细菌：肺炎链球菌、流感嗜血杆菌、金黄色葡萄 球菌 2 病毒：呼吸道合胞病毒(RSV)、腺病毒、流感病 毒、副流感病毒 3 非典型菌：肺炎支原体、沙眼衣原体、肺炎衣原 体、嗜肺军团菌 4 其它：结核分枝杆菌、卡氏肺囊肿、真菌等