shock pneumonia
Introduction
Introduction to shock pneumonia Shock pneumonia refers to a type of severe pneumonia with shock, which is caused by infection of Gram-positive or negative bacteria with strong virulence. The disease progresses rapidly. Often serious complications occur, such as not being treated in time, can be life-threatening. It is a severe pneumonia caused by microcirculatory disorders caused by toxemia in bacterial pneumonia. The pathogens are mostly Streptococcus pneumoniae, Staphylococcus aureus, hemolytic streptococcus, etc., which are more common in elderly and weak children. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious Complications: convulsions and convulsions Brain edema
Cause
Shock pneumonia
It is a severe pneumonia caused by microcirculatory disorders caused by toxemia in bacterial pneumonia. The pathogens are mostly Streptococcus pneumoniae, Staphylococcus aureus, hemolytic streptococcus, etc., which are more common in elderly and weak children.
Prevention
Shock pneumonia prevention
In the spring of climate change, as long as the elderly have a history of cold and cold, once breathing, pulse speed and blood pressure drop, you should go to the hospital immediately for early diagnosis and treatment.
Complication
Shock pneumonia complications Complications convulsions and convulsions cerebral edema
Systemic shock, high temperature can often cause convulsions, convulsions, cerebral edema, etc. Some patients will have psychiatric symptoms and bleeding tendency when using large doses of hormones, and must have sufficient awareness and vigilance. Especially for those with ulcer disease, the use of large doses of hormones can increase gastric acid, pepsin secretion, gastric mucus reduction, induce or aggravate ulcers, and even lead to perforation. Some patients with severe shock, although actively supplemented blood volume, after applying hormones and anti-infection, blood pressure still does not rise, or small blood vessels are obviously paralyzed, lips appear gray, even cyan, skin is wet, limbs are cold.
Symptom
Shock pneumonia symptoms Common symptoms Hairy conscious blurred complexion pale sleepiness pulse fine heart tamponade signs no urine pressure drop cold sweat abdominal pain with shock
The clinical manifestations mainly include pulmonary infection and shock. Shock often occurs within 24 hours. Most children have cough, cough, general malaise, and most of the lung signs are abnormal. Within 1 to 3 days, especially within 24 hours. Sudden shock, manifested as: blood pressure drops, pale, cold sweats, cold limbs, rapid pulse, lips and limbs, oliguria or no urine, confusion, irritability or lethargy, and even coma.
Examine
Shock pneumonia examination
(1) X-ray chest radiograph, inflammatory infiltrating shadow in the lungs (should avoid moving to the bed next to the bed).
(2) Pathogen examination: sputum smear and culture should be done as soon as possible to clarify pathogens.
(3) The white blood cell count and neutrophils are increased, and there may be a left shift of the nucleus.
(4) Blood gas analysis PaO2, PH value, standard bicarbonate (SB) actual bicarbonate (AB) can be reduced, serum lactic acid can be increased by metabolic acidosis; severe cases can have urinary routine and liver and kidney function damage.
Diagnosis
Diagnosis and identification of shock pneumonia
Diagnosis can be made based on clinical performance and examination. It should be differentiated from shock caused by other causes.
