pneumonia(1) (autosaved)

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1 CAPITOLUL I INTRODUCERE ŞI ISTORICUL BOLII Pneumoniile virale au fost identificate în ultimii 30 de ani, constituind un capitol nou al patologiei pulmonare. Probabil că unele din aceste pneumonii corespund unei vechi denumiri de „congestie pulmonară” (Woilez, 1872). În 1935, a aparut prima lucrare asupra pneumoniilor virale, folosindu-se termenul de „ pneumonite gripale”; în 1938, s -a folosit termenul de „pneumonie atipică”, atribuindu -se pentru prima data aceste pneumonii unui virus. În anii ce au urmat, pneumoniile virale au fost observate tot mai mult, prin utilizarea tot mai frecventa a examenelor radiologice, lipsa de răspuns la tratamentul cu antibiotici şi apariţia epidemică de pneumoniii cu aceste caracter. Pe măsura izolării a peste 100 de tipur i de virusuri respiratorii, s-a constatat că pneumoniile virale formează 15 – 30% so chiar mai mult din totalul pneumoniilor. Ele sunt cunoscute în totalitate numai când se utilizează examenul radiologic şi examene virusologice şi serologice. Pneumoniile virale deschid drumul suprainfecţiei bacteriene, rezultând tabloul foarte frecvent în practică, de „pneumonie mixtă” (virală+bacteriană) sau virobacteriană.

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