Clinical manifestation _ symptom of the bacterial pneumonia

Clinical manifestation _ symptom of the bacterial pneumonia
Basic disease of often having inducement or companion's chronic obstructive pulmonary tuberculosis of catching cold, tired etc., in heart failure etc., there is history of upper airway infection before 1/3 of the patient diseases. The disease is relatively urgent that the majority arises. Pneumonia arise the disease is hidden in some leather blue negative bacillus pneumonia, the elderly's pneumonia, hospital. It is common to generate heat, are mostly the lasting hyperpyrexia, it can not be typical to be hot type after the antibiotic treatment. Cough, expectoration is a lot of, it is the dry cough to be early, there is expectoration more and more, phlegm quantity differs more or less. Phlegm liquid present more suppuration, gold the intersection of pneumonia and yellow suppuration nature than typical phlegm, fungus of Portugal; Pneumonia and streptococcus pneumonia are ferruginous phlegm; Pneumonia and bacillus pneumonia glues and freezes kind for being brick-red; Green suppuration and bacillus pneumonia are light green; The anaerobe infects and often accompanies the stink. Already rare that the phlegm liquid to the above-mentioned model of development behaved after the antibacterial treatment. It is rare to spit blood. There is a chest that aches partly, present one kind of pains of acupuncture while involving the pleura. Pneumonia of lower leaf stimulates the diaphragm pleura, pain can be radiated to the shoulder or belly, the latter is apt to misdiagnose as acute abdomen. Symptom has headache, muscles that ache, weak all over, minority present gastrointestinal symptoms such as nausea, vomiting, abdominal distension, diarrhoea,etc.. The serious disease patient can have a liking for nervous system symptoms such as sleeping, consciousness obstacle, fainting from fears,etc..
The physical examination patient presents acute sickly look, breathe the simple speed, the part has wings of nose that is moved. Often have cyanosis and tachycardia at various degrees. A few can present shock (blood pressure drop to 10.6/6.7kPa and can not even measure suddenly within 24 hours, accompany agitation, pale complexion, four limbs faint cold urine, tachycardia and heart sound little subside etc.) ,See more for old age. Pneumonia and streptococcus pneumonia often accompany simple bleb of the lip. There can not be in the physical sign of early chest. Develop with disease, typical physical sign appears gradually. Single the intersection of side and pneumonia can have, suffer from side, breathe the intersection of sport and subside, the intersection of percussion and the intersection of sound and turbid, respiration lowering and getting wet rale. The physical sign of consolidation is often pointed out as the bacterial infection. The elderly's pneumonia, leather blue negative bacillus pneumonia and chronic bronchitis continue pneumonia of hair, many to involve one pair of sides at the same time, there is wet rale of two lungs of back to check the body.
Total number and neutral cells of blood leucocytes rise more. The weak one leucocyte of old age is counted and does not increase, but neutral percentages are still high. Lung inflammation prominent but leucocyte count, increase, brief on serious often. The partial pressure of oxygen of arterial blood often reveals that drops.
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