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Pneumonia is a common complication of measles, measles is one of the leading causes of death among patients. Since a 90% incidence rate of 3%, such a huge difference between the various diagnostic criteria is different. Statistics followed by the target age, nutritional status, living environment and sound so different immune function. But the unanimous conclusion is : adults with pneumonia and measles were far less than preschool children.
The diagnosis of measles pneumonia, no matter what stage in the pathogenesis of measles, where a non-sexual. sustained two days of pneumonia symptoms and signs, which can not be explained other causes measles diagnosis of pneumonia. Areas where conditions permit should do x-ray diagnosis.
Who will be conclusive evidence of pneumonia diagnosis is the key to early diagnosis can be done to treat the opportunity is not lost. improve the success rate. On the various stages of this disease measles pneumonia What about our early performance experience.
(1) : Early-onset pneumonia prodromal phase ferocious, often missed in temperature above 40 กใ C; He extended card; rashes not right; shortness of breath, nasal instigators, not rash in the lungs would be heard before the sound small blisters.
(2) rash in the early period of performance : fever, no pneumonia, measles out is not clear, even if there are more sparse measles, color, soon been seen. This is also contrary, the performance of the Red rash also very close integration into films, which lasted four days, no more delay. Music lung blisters fixed location.
(3) : an early manifestation of herpes lesions disappeared in the late pneumonia and did not return to normal body temperature; Without corresponding improvement in the spirit of appetite; Music does not reduce lung foam; High normal peripheral leukocytes and neutral.
When clinically suspected pneumonia exist, firms or x-ray films, the majority can be proved.
The time comes from pneumonia, measles can be divided into two types of pneumonia, the pathogen treatment and prognosis were not the same.
(1) prodromal period occurred in the early rash, and most of pneumonia caused by the measles virus itself. With measles pneumonia symptoms and signs of disease progression (the rash dissipated, reducing the symptoms of systemic Burma) improved. With the general treatment of the disease, can only enhance the handling of respiratory symptoms.
(2) late measles pneumonia, measles is included in the initial symptoms subsided. For many different pathogens virus (adenovirus, herpes simplex virus) and bacterial (influenzae, Streptococcus pneumoniae. Vice influenzae, Staphylococcus aureus and Streptococcus pyogenes). This increase required for the treatment of pneumonia bacteria and should support effective antibiotic therapy, if the supplementary sufficient calories vitamins, a small amount of blood necessary the meeting may also consider the application of transfer factor, placenta globulin. This type of pneumonia than the rash of early pneumonia refractory lasted longer, the mortality rate has been high, sent to hospital for medical treatment early.
This article was posted on 2007-02-27
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