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坏死性肺炎(necrotizing pneumonia，NP)是社区获得性肺炎(community acquired pneumonia，CAP)严重的肺部并发症之一，各个年龄段均可发病。最早关于NP的报道见于成人，近年来儿童NP的发病率呈上升趋势。目前关于儿童与成人NP在病原学、临床表现、辅助检查、高危因素、治疗、预后等方面的比较还未有过详细的描述，该文就上述方面的问题进行了系统的综述，以期为临床上诊治不同年龄段NP提供一定的依据。“,”Necrotizing pneumonia(NP)is a serious pulmonary complication of community acquired pneumonia(CAP), and can occur in adults and children.NP was first reported in adults, and in recent years the incidence of NP in children is growing.Until now, there is little description compare the etiology, clinical manifestation, auxiliary examination, risk factors, treatment and prognosis in children and adults with necrotizing pneumonia.This article systematically reviews several aspects of NP between children and adults, which would be helpful for diagnosing and treating NP in different age groups.