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class="big lan ico">大</a><a href="javascript:void(0);" target="_self" class="small ico">小</a></div> </div> </div> </div>    <div id="rxcntnq" class="news_con"> <div id="lmy7prn" class="jxbox clearfix"> <p>大葉性肺炎是什么？大葉性肺炎（lobarpneumonia）主要是由肺炎鏈球菌引起，病變累及一個肺段以上肺組織，以肺泡內(nèi)彌漫性纖維素滲出為主的急性炎癥。病變起始于局部肺泡，并迅速蔓延至一個肺段或整個大葉。臨床上起病急驟，常以高熱、惡寒開始，繼而出現(xiàn)胸痛、咳嗽、咳鐵銹色痰，呼吸困難，并有肺實變體征及外周血白細胞計數(shù)增高等。病程大約一周，體溫驟降，癥狀消失。該病多發(fā)生于青壯年男性。疾病常見誘因有受涼、勞累或淋雨等。屬于中醫(yī)“風溫”、“肺癰”等范疇。</p> <p align="center"><img alt="大葉性肺炎是什么病？" width="550" height="360" src="http://pardusfixedincomebond.com/upload/html/2018/02/cp270896.jpg" /></p> <p>什么是大葉性肺炎什么是大葉性肺炎大葉性肺炎疾病描述種細菌均可引起大葉肺炎，但絕大多數(shù)為肺炎鏈球菌，其中以ⅲ型致病力最強。肺炎鏈球菌為口腔及鼻咽部的正常寄生菌群，若呼吸道的排菌自凈功能及機體的抵抗力正常時，不引發(fā)肺炎。</p> <p>當機體受寒、過度疲勞、醉酒、感冒、糖尿并免疫功能低下等使呼吸道防御功能被削弱，細菌侵入肺泡通過變態(tài)反應使肺泡壁毛細血管通透性增強，漿液及纖維素滲出，富含蛋白的滲出物中細菌迅速繁殖，并通過肺泡間孔或呼吸細支氣管向鄰近肺組織蔓延，波及一個肺段或整個肺葉。大葉間的蔓延系帶菌的滲出液經(jīng)葉支氣管播散所致。</p> <p>大葉肺炎病變起始于局部肺泡，并迅速蔓延至一個肺段或整個大葉。臨床上起病急驟，病程大約一周，常以高熱、惡寒開始，繼而出現(xiàn)胸痛、咳嗽、咳鐵銹色痰，呼吸困難，并有肺實變體征及外周血白細胞計數(shù)增高等。</p> <p>大葉性肺炎是肺炎鏈球菌感染引起的一個肺葉或一個肺段范圍內(nèi)的肺泡炎。近年由于大量強有力抗生素的使用，典型的大葉性肺炎已較少見到。一般當氣候驟變，機體抵抗力下降時發(fā)病。冬春季多見，主要見于3歲以上兒童，因此時機體的免疫功能也就是防御能力逐漸成熟，能使病變局限于一個肺葉或一個肺段而不致擴散。一般大葉性肺炎起病急，表現(xiàn)為突然高熱、胸痛、食欲不振、疲乏、煩躁，少數(shù)患兒可有腹痛，有時被誤診為闌尾炎。重癥的患兒出現(xiàn)中毒性腦病癥狀，驚厥、譫妄及昏迷；甚或出現(xiàn)感染性休克。</p><div id="ubwhybn" class="editor" style="display: none;"><a class="jc-an fl" target="_blank" href="http://pardusfixedincomebond.com/jiucuo/">糾錯</a><span id="fea3jpi" class="fl"> 責任編輯：biu~</span></div> </div> </div>  <div style="margin-bottom:10px;"> <p align="center"> <img src="http://pardusfixedincomebond.com/upload/resources/image/2023/04/14/709075.jpg" alt="醫(yī)師資格考試公眾號" border="0"> </p> </div>    <div id="i2nlrbf" class="share new-share clearfix"> <div id="spmeuty" class="info-share-new fl"> <div id="jpceley" class="snltxt fl">分享到：</div> <div id="q7t83bt" class="fl" id="share-2020" data-sites="wechat, 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