Saturday, August 18, 2012

Diagnosis and treating _'s general knowledge of pneumonia and streptococcus pneumonia

Diagnosis and treating _'s general knowledge of pneumonia and streptococcus pneumonia
Pneumonia and streptococcus pneumonia are by the pneumonia streptococcus =Or pneumonia that the pneumonia coccus caused, account for half of acquired character pneumonia of community.
[Diagnose ]
1.Symptom: Often have catching cold, tired, drenching with rain, virus that infected the history, forerunner symptom who has upper airway infection more before the onset. Get up disease to be worried and sudden, hyperpyrexia, shiver with cold, chest ache, cough, expectoration, take blood or ferruginous phlegm in the phlegm, serious disease person can have dyspnea and cyanosis.
2.Physical sign: Early physical sign does not obviously or only have respiration that is lowered, some percussion voiced sound at the time of the lung essence, it is strengthened that the language is quiver, can hear and tube respiration. Can hear to dissipate one and wet sound. Can accompany and take place shock, acute and breathe poverty-stricken syndrome and spiritual symptom of the nerve when being infect seriously.
3.Check in the laboratory: The leucocyte is counted and increased, neutral cells> are 80%, and there is the core that moves to left. Phlegm slide or training and can be found the coccus of pneumonia.
4.X-ray examination: It is obvious that takes the form of lung section or vaporific shade of cloud that lobe of the lung is distributed.
[Treat ]
1.Support the treatment: Stay in bed, eat high protein, high heat, apt to digest the food, the oxygen intake if necessary.
2.Antibacterial drug therapy: First-selected penicillin G, whether administration route and dosage look at the weight of condition and have complication and make. Allergic to penicillin, is able to bear the infeted of bacterial strain of penicillin, can use the quinoline promise ketone, very beginning spore's fungus plain type medicine, the course of treatment is 14 days.
3.Complication is dealt with: Should be rescued immediately while amalgamating shock. The person who erupts empyema simultaneously should arrange suppuration to guide actively.
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