Lobar Pneumonia

Overview of pneumococcal pneumonia is pneumococcal meningitis caused by acute pulmonary inflammation. Occurs in young and middle-aged men and winter season. The main pathological changes of alveolar edema and inflammation real change. Clinical symptoms of a sudden chills, fever, dry cough, chest pain, cough brown sputum. Elevated white blood cell count; Typical X-ray findings of the lung, it leaves change. Short course, timely application of antibiotic treatment will be recovered. Cause pathogenesis incentives are common catch cold, drenched, drink or general anesthesia, such as overdose of sedatives. A clinical performance. Sharp onset, chills, fever, chest pain, cough, cough brown sputum. Extensive lesions can be associated with shortness of breath and cyanosis. 2. Some patients have nausea, vomiting, abdominal distension, diarrhea. 3. May have severe neurological symptoms, such as irritability, delirium and so on. It can also occur around the circle failure, with septic shock, said shock type (or toxic) pneumonia. 4. Acute capacity, shortness of breath, nasal fans. Some patients lips and nose Zhou cyanosis. 5. Early signs of pulmonary respiratory or very little to reduce noise and pleural friction sound. Consolidation period may be typical signs, the affected respiratory movement weakened language chatter enhance spontaneous delivery voiced, auscultate breath sounds lower wet rales or pathological bronchial breath sounds. Inspection increase in the number of white blood cell, the neutrophil to 0.80 over nuclear bits, poisoning particles. There are a lot of sputum smear Gram-positive cocci. Sputum, blood culture is pneumococcal growth. Serological testing positive (with agglutination test, convection immunoelectrophoresis detection pneumococcal capsular polysaccharide antigen). Chest X-ray examination revealed that of the leaf - or of uniform high density shadow flake. Check blood gas analysis PaO2 and PaCO2 decline existing chronic obstructive pulmonary disease patients PaCO2 could rise. Treatment 1. Strengthen care and support therapy. 2. Antibacterial drug treatment. 3. Pnumonia treatment : enhancing care, closely monitored. Supplementary correct hemorrhagic shock. Correct acid-base balance. Application of vasoactive drugs. Application of sufficient quantities of antibiotics. Plus early glucocorticoid. Combat heart, kidney dysfunction and respiratory failure. A drug. The light should be the first choice in patients with intramuscular injection of penicillin. 2. - Shock or severe pneumonia patients should be timely application of adequate antibiotics intravenously may conjunction with 2-3 kinds of broad-spectrum antibiotics. Such as penicillin, cephalosporin drugs, and strengthening support and symptomatic treatment. 3. Added by the blood volume, correct acidosis after peripheral circle back shows no improvement, to increase use of vasoactive substances such as 654 -2, and dopamine or dobutamine between hydroxylamine. 4. A serious illness or after the above shock therapy has not corrected, as soon as possible to increase use of hydrocortisone or dexamethasone.