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2011年苗圃呼吸第三次完整笔记(2011 nursery breathing third complete notes)
2011年苗圃呼吸第三次完整笔记(2011 nursery breathing third complete notes)
5 pneumonia
The anatomic classification:
Lobar: Streptococcus pneumoniae, lobular sex: Staphylococcus aureus, interstitial: Mycoplasma, chlamydia pneumonia
The etiology of the atypical pneumonia: no bacterial cell wall B- lactam invalid, macrolide and tetracycline treatment
The prevalence of environmental classification:
The nosocomial infection (HAP): gram negative bacteria (Pseudomonas aeruginosa, Klebsiella) cough phlegm jelly red brick,
No infection: Streptococcus pneumoniae, flu, infection: gold, copper, rods
Out of hospital / community (CAP): Streptococcus pneumoniae,
Lobar / Streptococcus pneumoniae: the capsule is pathogenic and does not produce toxins, does not cause necrosis and cavities, and has no structural or functional changes after the pneumonia has healed,
Clinical manifestations: young, cold rain, abrupt onset, chills, fever, chest pain, cough, expectoration, severe cough a lot of purulent sputum and hemoptysis. There is a wet rales in the lungs and can be heard only when breathing.
Pulmonary consolidation, fremitus enhancement, percussion dullness, tracheal displacement
Supplementary Examination:
WBC10-50 * 109/L = N 80% nuclear left shift the toxic granules and may have anemia. Staphylococcus aureus was produced by sputum, bronchial secretions and pus.
X ray: inflation sign of the lung in the upper respiratory tract of the lung, where there is a liquid plane or a cavity in the air sac..
Treatment:
Penicillin 800 - 10 million / day with meningitis: 1000-3000, four times. Drug resistance: quinolones and cephalosporin 3 generations.
Lobar / Streptococcus pneumoniae: young adults, cough, rust, X-ray, bronchial inflation, treatment: penicillin, drug resistance: use quinolones and cephalosporin 3 generations.
Lobular pneumonia / staphylococcal pneumonia:
Formation of cavities and necrosis occurred in children and the elderly, yellow purulent sputum / pink, X-ray fluid, gas plane / cyst cavit
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