Characteristic _ symptom of the viral pneumonia
1.The respiratory tract is shut virus pneumonia of afterbirth (respiratory syncytial virus pneumonia) Shut the virus of afterbirth (RSV) by the respiratory tract Due to. Within seeing more for 2 years old, it is many with 2- 6 months babies particularly. Onset season varies from geographical area.
Main pathological change, in maos of detailed bronchus, bronchus and alveolus can also be involved. Eliminate and generate heat, cough and have difficulty in breathing, breathe heavily and suppress in order to especially represent at clinic. Physical sign rely mainly on stridulating, lung base can can hear detailed wet transliteration of trembling. It is in heart failure that the serious one can happen.
There are two kinds of types on clinic:
Bronchitis (bronchiolitis) that mao are thin : There is the above-mentioned clinical manifestation, but is poisoned symptom minorly, the chest X-ray takes pathological change of the quality among the lung as the core, have pulmonary emphysema and inflammation around the bronchus of obstructing etc. in various degree often, can see the intersection of snack and scenes of shade or the intersection of lung and piece sometimes.
Shut virus pneumonia of afterbirth: Serious, poison symptom to be relatively serious all over, have difficulty in breathing obvious, lung physical sign has appear relatively early, the sound of stridulating of full lung, the base has thin wet rales, also call breathing heavily suppressing pneumonia. The chest X-ray increases with small shade, lung lamination and pulmonary emphysema is common.
Pass at a specified future date and follow up a case by regular visits to and observe, the ill rate that this disease continues the hair and wheezes is 22% -66% , Noteworthy.
2.Adenovirus pneumonia (adenovirus pneumonia) It is due to adenovirus. 3,0.35 kilograms type are the main pathogen which cause adenovirus pneumonia, 11, 21 type takes second place. Main pathology is changed into quality among bronchus and alveolus inflammation, the serious one focus merges each other, the cover extensive necrosis on the trachea bronchus, cause the bronchus to be in charge of stopping up, add the serious inflammation pathological change of the lung essence, often serious, the course of disease delays, it is apt to cause lung function damaging and other system function obstacles.
Disease this see more 6-24 month child, get up, stay hyperpyrexia is dispirited to have a liking for, sleep on, look pale suddenly, it coughs to be relatively drama, cough frequently and burst cough, can present, breathe heavily suppressing, dyspnea, cyanosis,etc.. The physical sign of lung relatively appears late, begin to present the wet rale after generating heat for the 4th - 5 days, the consolidation physical sign of lung appears because of merging in lung pathological change later. A few infants erupt exudative pleurisy simultaneously.
X-ray characteristic:
When the physical sign of lung is not obvious, can change the X-ray;
The flaky shade not of uniform size or merging into a big focus, pulmonary emphysema is seen more;
The focus is absorbed to take from several weeks to several months slowly.
|
0 comments:
Post a Comment