How does old pneumonia select antibiotic _ for use to treat

How does old pneumonia select antibiotic _ for use to treat
The elderly's whole body has bad reaction ability, pneumonia does not often have a typical symptom, the onset is more obscure, generate heat, cough generally, chest ache, fear the intersection of young people and main symptom of pneumonia such as being cold, but appear by some non- specific symptom and symptoms, such as tired, weakness, nausea, vomiting, suffering from diarrhoea,etc.. Professor Zhang, 81 years old, it is uncomfortable to feel giddy, be sick, vomit etc. in the last few days, to let me see the doctor. After finishing checking, I tell him to suffer from pneumonia. "Strange, why such respiratory tract symptoms as I have not coughed, generated heat, the last diagnosis but it is pneumonia, misdiagnose? Heard from people, pneumonia was the first cause of disease in old man's death over 80, it was higher than the mortality of tumour, if is really pneumonia, what shall I do? " Professor Zhang's tape suspects but anxious sight is inquired. Indeed, just like what Professor Zhang said, pneumonia is " killer " who the elderly fear very much ,And it is very obscure to have illness coming on, often do one thing under cover of another, after to diagnose clearly, the treatment has already become very thorny. As everyone knows, deterioration of important internal organs such as old heart, lung, kidney, the immunological function is low, extremely apt to suffer from the airway infection and continue pneumonia of hair. If there are basic diseases such as hypertension, hyperlipemia, diabetes, heart disease,etc., the deterioration speed of kidney of heart is obviously accelerated. In this case, once there is rustle of leaves in the wind, have been infected with pneumonia, it is in heart failure that can appear rapidly. So, the mortality of senile pneumonia is extremely high. What merits attention is, bad because of the elderly's whole body reaction ability, pneumonia does not often have a typical symptom, have more obscure onsets, generate heat, cough generally, chest ache, fear the intersection of young people and main symptom of pneumonia such as being cold, but appear by some non- specific symptom and symptoms, such as tired, weakness, nausea, vomiting, suffering from diarrhoea,etc., such whole body symptoms as many people still present the consciousness obstacle, dehydrate, the blood around is like the leucocyte and does not often increase, but more than half can be seen neutral cells and increase. This gives and diagnoses that it is difficult to bring suring. So, the expert emphasizes, discovery and diagnosis of the senile pneumonia are very important, this needs patients, especially the patient family members understand general knowledge of the senile pneumonia more, on the other hand, doctor's routine, to chest slice of old X-ray of People's Bank of China going to a doctor in order to define the diagnosis of pneumonia. In treating, it is very key that it is rational that antibiotic is employed, do not employ well, will aggravate the condition. So no matter doctor, or patient patient or relative select antibiotic for use must pay attention to following odd question: 1.Use bactericides. Because the elderly's histoorgan declines, the immunological function is low, killing depending on sterilizing function mainly of pathogens. So the elderly should use bactericides, such as the penicillin (such as penicillin) , spore's fungus of very beginning is plain (sodium such as the quinoline of thiazole of very beginning spore) , quinoline promise ketone (such as the ring third kills the star) When. 2.It is (such as kanamycin) to avoid using amino sugar glucoside Wait for the medicine with big toxicity. Relatively the adult is bad for liver renal functions of the elderly, higher than young people to the antibiotic bad reaction too, so must make to the medicine scheme according to the characteristic of the elderly, try hard to avoid employing the toxic medicine example amino sugar glucoside, if the condition needs and must be used with decrement. The above-mentioned 2 points are about the applying to the other the elderly's bacterial infective diseases beyond pneumonia of antibiotic, likewise applicable. 3 following points are that I summarize the antibiotic application scheme of the clinical experience for many years. 1.Light intermediate pneumonia, first-selected penicillin when the person who doesn't have basic disease uses medicine; If the allergic one of penicillin can use the erythromycin, forest to be very mould and plain; Can also be plain with the 1st generation of very beginning spore's fungus(draw capsule definitely such as the very beginning spore) , amino sugar glucoside (such as kanamycin) , ketone (such as the ring third kills the star) of quinoline . 2.It is light intermediate pneumonia, is there cardiovascular vessel patients basic such as the diseases, diabetes, lungs chronic to be selected by very beginning plain in fungus in spores the second generation of for use until (very beginning spore furan oxime) ,Amino sugar glucoside (such as kanamycin) ,The legion fungus is infected with erythromycin or quinoline ketone (kill the star such as the ring third) Medicine. 3.The severe pneumonia in China selects the second generation of, three generations for use spore's fungus of very beginning is plain (the third generation of very beginning spore such as three piperazine of oxime of spore oh of very beginning) Or amide enzyme inhibitor, link acid, ammonia Cathy forest - easy Batan such as not west forest of A - carat in - inner amide is added, oxygen piperazine - his thiazole Batan,etc..

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