's general knowledge of pneumonia and streptococcus pneumonia of coccus pneumonia of pneumonia

's general knowledge of pneumonia and streptococcus pneumonia of coccus pneumonia of pneumonia
Summary
Pneumonia and coccus pneumonia are caused by coccus of pneumonia or pneumonia streptococcus, account for and is infected with more than half of pneumonia outside the courtyard. The the intersection of lung and piece or lobe of the lung takes the form of acute inflammation nature consolidation, the patient has symptoms such as shiver with cold, hyperpyrexia, chest aching, coughing and blood phlegm,etc.. Because antibacterial in recent years the employing extensively of the medicine, have symptom and light or not typical disease to comparatively see clinically more.
Cause of disease
The coccus of pneumonia is the blue positive coccus of leather, often in pairs (diplococcus of pneumonia) Or arrange in the shape of chain ' Pneumonia streptococcus) ,These bacteria are the normal fungus group of upper respiratory tract, only started to cause a disease just when immunity is reduced. Onset is much in winter and early spring, smoker, getting dull-witted, congestive heart decline and the intersection of chronic disease and patient, prop up inflammation while being slow, bronchiectasis, and immunity defective patient easy to be attacked by the coccus of pneumonia.
Symptom
The patient often suffers from cold catching the rain, tired, drunk, spirit stimulating, virus infects the history, symptom of pioneer of the upper airway infection that half the number case has several days.
Get up disease to be more worried and sudden, have hyperpyrexia, half the number companion shiver with cold, the body temperature can rise to 39- 40 within several hours, the peak can also present continued fever, is parallel to pulse rate in the afternoon or at dusk. Patient sense muscle ache, suffer from side chest pain, can radiate to the shoulder, belly all over, aggravate while coughing or deeplying breathe. There is little phlegm, is it or ferruginous to take the blood silk. The stomach is received and fallen sharply, disgusting and vomiting, suffering from abdominal pain or suffering from diarrhoea, misdiagnose as acute abdomen sometimes.
The early physical sign of pathological change of pneumonia is obvious, old and infant's patient, and continue, take place on others disease, clinical manifestation is often not typical.
Check
Blood routine: The leucocyte counts the majority in 10- 30* 109 L, how are neutral cells above 80%.
The phlegm slide is checked: There are a large number of neutral cells and blue positive short catenate coccus in pairs of leather.
The phlegm is trained: Can confirm the pathogen in 24-48h.
X-ray examination: Typical X-ray slice has been already relatively rare in recent years.
Treat
A drug therapy. Diagnose that should begin the antibiotic treatment immediately, needn't wait for the bacterium to train the result. To pneumonia and coccus pneumonia, penicillin G is first-selected. Can also instil with very mould plain daily 2g vein of forest; The serious disease patient, still other very beginning spore's funguses are plain, such as thiophene of very beginning spore, the quinoline of thiazole of very beginning spore; Fluorine quinoline promise ketone medicine, such as oxygen Fluorine sand star; Sand star of ring third. The course of treatment of antibacterial medicine is generally 5- 7 days, or medicines stop in 3 days after bringing down a fever.
Second, support the treatment.
The patient should stay in bed, pay attention to the absorption in enough protein, heat and vitamin,etc., observe breathing, heart rate, blood pressure and urine quantity, pay attention to shock that may happen. There is obvious chest that aches, can give a small amount of analgesic, such as codeine 15mg can be relieved. Not using aspirin or other antipyretic, so as not to sweat in a large amount, dehydrate, cause and judge the mistake clinically. Encourage, drink the water daily 1-2L. The medium-sized or serious disease patient should give oxygen.
Third, treatment of complication.
Treatment of fourth, infective shock.
|