Pneumonia培训课件.pptVIP

? Clinical manifestations are similar to sever pneumococcal pneumonia ? The sputum is viscid and “ropy”, and may be “brick red” in color ? Chest X-ray shows a downward curve of the horizontal interlobar fissure, if the right upper lobe is involved ? Areas of increased radiance whithin dense consolidation suggest cavitation ? It constitutes 2% of bacterial pneumonia, but mortality may be as high as 30% 精品文档 ? When an elderly patient suffered from acute pneumonia with sever toxic symptom, viscid and “brick red”, sputum must consider this disease ? The diagnosis is determined by bacterial examination of sputum ? Early using antimicrobial therapy is im- portant for patients with survivable ill- illnesses, aminoglycoside (Kanamycin, Amikacin, Gentamycin ) and the third generation cephalosporin are often used. 精品文档 Mycoplasmal pneumonia ? Mycoplasmal pneumonia is caused by Mycoplasmal pneumoniae ? Mycoplasmal pneumoniae is one of the smallest organisms 125-150 μm capable of replication in cell-free media ? Infection is spread form person to person by respiratory secretions expelled during bouts of coughing, causing epidemic or sporadic occurance 精品文档 ? It commonly occurs in children, adolescent, mainly in fall and winter ? It constitutes more than 1/3 of non bacterial pneumonias, or 10% of pneumonias from all cause ? Cellular infiltrate around bronchioles, and in alveolar interstitium, consists mostly of mono- nuclear elements 精品文档 Clinical findings ? The illness begins insidiously with constitutional symptomatology: malaise, sore throat, cough, fever, myalgia ? Half of cases