In countries around the world, pneumonia is an important cause of hospitalization or death in children, and the relevant symptoms of children are worth paying attention to.
case sharing
A two-year-old girl has a slightly burn, cough and runny nose for 4 days. X-rays showed that the lungs were very clean. The doctor diagnosed it as a cold and prescribed some medicines to relieve her symptoms. Unexpectedly, the girl still had a fever after returning home, and her cough and yellow pus sputum became more and more serious, her vitality was worse, and she was lazy all day long. After a closer look, my parents found that my chest was undulating more when I breathed.
Two days later, her parents took her daughter to the hospital emergency room again, and she was already very weak. When the doctor auscultated, he found that there was rales in the lungs. He judged that it was pneumonia and needed to be hospitalized for intravenous antibiotics. Unexpectedly, when the nurse helped her with the drip, it was difficult to find blood vessels and the pulse was weak. Immediately afterwards, she began to be unconscious and was on the verge of shock, and her parents and medical staff were shocked.
Medical staff quickly helped her intubate and transferred it to the ICU. A few days later, the blood was cultured and showed that it was a Streptococcus pneumonia infection, causing pneumonia and septic shock. Fortunately, after careful care in the ICU, the little girl finally gradually improved and was discharged from the hospital successfully! What are the clinical manifestations of pneumonia?
Whether it is virus or bacterial pneumonia , a few days before it occurs, you will have symptoms of a cold, such as sneezing, coughing and running nose. When the cold progresses to pneumonia, it usually shows fever, breathing asthma and breathing fatigue (sagging of the respiratory muscles and flapping of the nose). In severe infections, it may even have purple lips or respiratory failure, especially in small babies. Bacterial pneumonia begins with sudden chills in older children, followed by high fever, cough and chest pain.
What causes pneumonia?
" Streptococcus pneumoniae " is the most common bacterial infection that causes children aged three to four years old.
"Platinum pneumoniae" is the most common cause of children over five years old. Other pathogens that cause bacterial pneumonia include Streptococcus type A, Staphylococcus aureus , etc.
virus is an important cause of pneumonia in infants and children under five years old. The highest incidence is at the age of two to three years, after which the incidence gradually decreases. Among viral infections, influenza virus and respiratory fusion virus are the most common, especially in children under three years of age. Children with immunity or who have diseases themselves are more likely to be infected with special pathogens. The
vaccine is effective. Children vaccinated with Haematobacterium type b and Streptococcus pneumoniae vaccines have a lower chance of being infected with these bacteria. How to treat
?
The treatment of bacterial pneumonia is based on the bacteria, age and clinical manifestations that are speculated to be infected, and antibiotics are selected. The timely use of the correct antibiotics is the key to whether bacterial pneumonia can be cured. Early treatment can avoid complications such as empyema, fertilization of fertilization, bacteremia and septic shock.
If it is suspected that it is viral pneumonia , it is reasonable not to use antibiotics, especially in children with mild symptoms and no breathing. However, 30% of viral infections will be combined with bacterial infection, so if the symptoms worsen, you need to consider combining bacterial infection and use antibiotics.
is less than 6 months old, multiple lobe infections, immune insufficiency, very tired, breathing and asthma, need oxygen, dehydration or vomiting until you cannot eat or take medicine - if the above situations are present, you need to be hospitalized for treatment.
