Clinical characteristic and type _ symptom of the old pneumonia

Clinical characteristic and type _ symptom of the old pneumonia
1.Characteristic of the old pneumonia
Old pneumonia often lacks and obviously breathes department's symptom, there are many and non- typical symptoms, ill progress is fast, incident to leak and examine, examine by mistake. According to literature, pathology prove but pneumonia fail " leaks the examining rate " that diagnose while being clinical It is 3.3% - 61.4%; Clinical to diagnose as pneumonia but there is not corresponding pathology being seen " The examining rate by mistake " It is 10.8% - 39.3%. Old pneumonia roughly has the following clinical characteristics.
( 1) Not having more typical symptoms of generating heat, coughing up phlegm etc., the person who has symptom only accounts for 35%.
( 2) First publish disease, account for 56% for person who breathe, accelerate and have difficulty in breathing, obstacle consciously, have a liking for, sleep, dehydrate, appetite fail etc., the person who doesn't have symptom accounts for 10%.
( 3) Physical sign: Can present the rapid pulse, breathe fast, chest auscultation can be heard and wet rale, or weaken with the respiration and bronchus alveolus respiration.
( 4) The blood is checked: Blood routine examination the intersection of leucocyte and total number can increase or not high, more than half can be seen nuclear to move to left and C react albumen positive, erythrocyte sedimentation rate inflammation display fast,etc..
( 5) The analysis of artery vim and vigour: Can present the artery ing, the partial pressure of oxygen drops, while amalgamating chronic obstructive lung disease, because bad carbon dioxide partial pressure of taking a breath of the alveolus rises.
( 6) A person who presents bronchus pneumonia shape sees chest X-ray more than pneumonia of big leaf.
( 7) The old pneumonia water, electrolyte incident are disorderly, acidosis. Because erupt the chronic patient simultaneously more, many internal organs functions incident are depleted, mortality is high.
2.Common type of the old pneumonia
( 1) Sucking pneumonia
Because the mucous membrane of the elderly's cavity of larynx withers, changes hypesthesia of the thin, throat, swallow, contract the intersection of skin and the intersection of activity and function subside, produce, engulf obstacle, make food and depend on bacterium in throat department for a living, enter the lower respiratory tract, cause sucking pneumonia. Clinical symptom is not typical, the hyperpyrexia only accounts for 34%, the person who doesn't have respiratory tract symptom is 14%, more than 35% patients take digestive tract symptom as the core, the examining rate is high by mistake. 20% of the patients present spiritual symptom of the nerve, hypotension, infective shock, cyanosis, weak, etc, the chest aches and the rust phlegm is rare, the leucocyte is not high, it is apt to present water, electrolytic disorder. The chest one reveals spot or platelet shade. Phlegm fungus check with the intersection of leather and getting blue negative bacillus as main fact, 1/2-1/3 point, getting blue leather positive coccus accounts for 10% only, mix and infect 1/3.
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