Bacterial pneumonia introduces _'s general knowledge

Bacterial pneumonia introduces _'s general knowledge
Disease is described
Bacterial pneumonia account for the intersection of adult and all kinds of pathogen 80% of pneumonia. Enter antibiotic era, the prognosis of the bacterial pneumonia is improved notably for a time, but occupy from the case fatality rate after the sixties too high to lower. Bacterial pneumonia presents some new characteristics at present, including pathogenic table changes, especially G - bacillus rate of pneumonia rises notably in the hospital, though pneumonia streptococcus still occupies an leading position in community acquired character pneumonia and pathogen, but clinical manifestation can not prone to typically more. The bacterium is able to bear medicine rate and increase, so-called " The difficult managing " Pneumonia is of common occurrence, especially the case fatality rate is extremely high among children, the elderly and immunity inhibit a patient. Improve aetiology and diagnose competence, antibiotic of rational application, avoid being able to bear the medicine fungus to present, and it is pneumonia to improve and support to treat and deal with the problem that the respect needs emphasizing and solving clinically urgently.
Physical sign of symptom
1.SymptomCharacteristic of paying attention to generating heat, cough, expectoration property and chest and aching. The model person, pneumonia and streptococcus pneumonia cough ferruginous phlegm; Gold pneumonia, fungus of Portugal, cough the blood phlegm of suppuration; Green suppuration and bacillus pneumonia cough the jade green phlegm of suppuration; Pneumonia and CrayResearch's uncle's bacillus pneumonia cough the brick-red jelly phlegm.
2.Physical examinationVoiced sound of noticing, respiration, wet Yue's sound, the pronunciation is conducted, infect etc. lip bleb, bleeding rash, skin suppuration furuncle, wound. Should notice blood pressure change, person of shock had can have body temperature rise, vomit and diarrhoea, agitation, blood pressure drop and four limbs faint coldly. There can not be obvious shock to behave in early period while dropping the patient in some blood pressure, should notice.
Cause of disease of disease
Spiratory tract,etc. should; Should pay attention to chronic lung illness, every system chronic disease such as diabetes, sweetheart having complete renal function and tumour disease to infect in the hospital, whether employ wide table antibiotic, glucocorticoid, immune inhibitor or anticancer chemotherapy, machinery keeping in touch with and organ transplant,etc.. Suspect gold the infeted, fungus of Portugal, need, notice measles, influenza prevail and have the intersection of wound and infection, osteomyelitis and the intersection of skin and the intersection of suppuration and furuncle pinch the history still.
Pathologic physiology
The sound immunity defends the mechanism to make the trachea, bronchus and alveolus tissue keep the aseptic state. Immunological function damage or enter, down the intersection of pathogen and the intersection of virulence and relatively better or quantity got to breathe relatively a long time, pneumonia incident.
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