Wikipedia

「誤嚥性肺炎」の版間の差分

履歴の双方向閲覧
新しい編集 →
削除された内容 追加された内容
ビジュアルウィキテキスト
ページ「Aspiration pneumonia」の翻訳により作成
 
m →‎外部リンク: medical resources の修正
1行目:
{{Infobox medical condition (new)
{{Infobox medical condition (new)|name=Aspiration pneumonia|image=Aspiration pneumonia (2).jpg|caption=Microscopic image of aspiration pneumonia in an elderly person with a neurologic illness. Note [[foreign-body giant cell]] reaction.|symptoms=[[Fever]], [[cough]]<ref name=Di2015/>|onset=Elderly<ref name=Fer2018/>|duration=|types=|causes=|risks=[[Decreased level of consciousness]], [[dysphagia|problems with swallowing]], [[alcoholism]], [[enteral feeding|tube feeding]], poor [[oral health]]<ref name=Di2015/>|diagnosis=Based on presenting history, symptoms, [[chest X-ray]], [[sputum culture]]<ref name=Fer2018/><ref name=Di2015/>|differential=[[Chemical pneumonitis]], [[tuberculosis]]<ref name=Di2015/><ref name=Fer2018/>|prevention=|treatment=|medication=[[Clindamycin]], [[meropenem]], [[ampicillin/sulbactam]], [[moxifloxacin]]<ref name=Di2015/>|prognosis=|frequency=~10% of pneumonia cases requiring hospitalization<ref name=Di2015/>|deaths=}}
| name = 誤嚥性肺炎
| image = Aspiration pneumonia (2).jpg
 
| caption = Microscopic image of aspiration pneumonia in an elderly person with a neurologic illness. Note [[foreign-body giant cell]] reaction.
| field = [[Emergency medicine]], [[pulmonology]]
| symptoms = [[Fever]], [[cough]]<ref name=Di2015/>
| complications = [[Lung abscess]]<ref name=Di2015/>
| onset = Elderly<ref name=Fer2018/>
| duration =
| types =
| causes =
| risks = [[Decreased level of consciousness]], [[dysphagia|problems with swallowing]], [[alcoholism]], [[enteral feeding|tube feeding]], poor [[oral health]]<ref name=Di2015/>
| diagnosis = Based on presenting history, symptoms, [[chest X-ray]], [[sputum culture]]<ref name=Fer2018/><ref name=Di2015/>
| differential = [[Chemical pneumonitis]], [[tuberculosis]]<ref name=Di2015/><ref name=Fer2018/>
| prevention =
| treatment =
| medication = [[Clindamycin]], [[meropenem]], [[ampicillin/sulbactam]], [[moxifloxacin]]<ref name=Di2015/>
| prognosis =
| frequency = ~10% of pneumonia cases requiring hospitalization<ref name=Di2015/>
| deaths =
}}
<!-- Definition and symptoms -->
'''誤嚥性肺炎'''(ごえんせいはいえん)は、胃または口から肺に比較的大量の物質が入ることによりなる[[肺炎|肺感染症]]の一種である<ref name="Di2015">{{Cite journal|date=February 2015|title=Aspiration pneumonia: a review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|pages=40–8|DOI=10.1016/j.jcrc.2014.07.011|PMID=25129577}}</ref>。よくある徴候や症状は[[発熱]]と[[咳嗽|咳]]が感染から比較的早期にみられる<ref name="Di2015" />。合併症には[[Lung abscess|肺膿瘍]]があげられる<ref name="Di2015" />。中には非感染性の誤嚥性肺炎の亜型である、[[酸|酸性]]の胃の内容物が肺に入り発症する[[Chemical pneumonitis|化学性肺炎]]も含まれる<ref name="Di2015" /><ref name="Fer2018">{{Cite book|last=Ferri|first=Fred F.|title=Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1|date=2017|publisher=Elsevier Health Sciences|isbn=9780323529570|page=1006|url=https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20170731105931/https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|archivedate=2017-07-31}}</ref>。
 
<!-- Cause and diagnosis -->
感染は数種類の[[細菌]]が原因である可能性がある<ref name="Fer2018">{{Cite book|last=Ferri|first=Fred F.|title=Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1|date=2017|publisher=Elsevier Health Sciences|isbn=9780323529570|page=1006|url=https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20170731105931/https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|archivedate=2017-07-31}}</ref>。リスク要因には、[[Decreased level of consciousness|意識レベルの低下]]、[[嚥下障害]]、[[アルコール依存症]]、[[経管栄養]]、[[歯学|口腔の健康]]不良などがあげられる<ref name="Di2015">{{Cite journal|date=February 2015|title=Aspiration pneumonia: a review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|pages=40–8|DOI=10.1016/j.jcrc.2014.07.011|PMID=25129577}}</ref>。診断は通常、既往歴、症状、 [[Chest X-ray|胸部X線]]、[[Sputum culture|培養検査]]に基づい行われる<ref name="Di2015" /><ref name="Fer2018" />。他の種類の[[肺炎]]と区別するのが難しい場合もある<ref name="Di2015">{{Cite journal|date=February 2015|title=Aspiration pneumonia: a review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|pages=40–8|DOI=10.1016/j.jcrc.2014.07.011|PMID=25129577}}</ref>。
 
<!-- Treatment and epidemiology -->
治療は通常、[[クリンダマイシン]]、[[Meropenem|メロペネム]]、[[Ampicillin/sulbactam|アンピシリン・スルバクタム]]、[[モキシフロキサシン]]などの[[抗生物質]]が用いられる<ref name="Di2015">{{Cite journal|date=February 2015|title=Aspiration pneumonia: a review of modern trends|journal=Journal of Critical Care|volume=30|issue=1|pages=40–8|DOI=10.1016/j.jcrc.2014.07.011|PMID=25129577}}</ref>。化学性肺炎のみの患者には、抗生物質は一般的に必要ない<ref name="Fer2018">{{Cite book|last=Ferri|first=Fred F.|title=Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1|date=2017|publisher=Elsevier Health Sciences|isbn=9780323529570|page=1006|url=https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20170731105931/https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|archivedate=2017-07-31}}</ref>。肺炎で入院した患者のうち、約10％は誤嚥によるものである<ref name="Di2015" />。特に[[介護老人福祉施設|介護老人ホーム]]にいる高齢者に発症することが多い<ref name="Fer2018">{{Cite book|last=Ferri|first=Fred F.|title=Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1|date=2017|publisher=Elsevier Health Sciences|isbn=9780323529570|page=1006|url=https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|language=en|deadurl=no|archiveurl=https://web.archive.org/web/20170731105931/https://books.google.ca/books?id=wGclDwAAQBAJ&pg=PA1006|archivedate=2017-07-31}}</ref>。男女ともに等しく発症する<ref name="Fer2018" />。
 
== 出典 ==
{{reflist|32em}}
<references group=""></references>
 
== 外部リンク ==
{{Medical resources}}
| ICD10 = {{ICD10|J|69|0|j|60}}, {{ICD10|P|24|9|p|20}}
| ICD9 = {{ICD9|507}},{{ICD9|770.18}} {{ICD9|997.32}}
| ICDO =
| OMIM =
| MedlinePlus = 000121
| eMedicineSubj = emerg
| eMedicineTopic = 464
| DiseasesDB =
| MeshID = D011015
}}
[[Category:医療翻訳プロジェクト]]
[[Category:未査読の翻訳があるページ]]
「https://ja.wikipedia.org/wiki/誤嚥性肺炎」から取得