The clinical manifestations of the disease are as follows:
(1) Rapid onsetbreathingDifficulty or even respiratory failure.
(2) YescoughThe older children have a large amount of viscous blood sputum (brick red jelly like, viscous, odorless), but infants are rare.becauseAirwayObstruction by mucus, less or complete lack of pulmonary signs.
(3) The disease develops rapidly and is extremely seriousintoxicityshockStatus, such as gray face, cool limbs, lethargy, coma and even death.
(4) Complications: pulmonary abscess is the most common, followed byempyema、pleuraHypertrophy.
(5) X-ray chest film: pulmonary segment or lobar dense consolidation shadowedgeIt tends to expand and bulge, and can rapidly develop to adjacent areasPulmonary segment, the posterior segment of upper leaf and the tip segment of lower leaf are more common.
therapeutic method
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The first choice of antibiotics for the treatment of this disease isAminoglycosidesandcephalosporinClass.Aminoglycosides optionalAmikacin10~15mg/kg · day, add 5%~10% glucose to the static point;CephalosporinsOptionalCefotaxime sodium50~150mg/kg · day, put it into the liquid and take a rest point. At the same time, support therapy and symptomatic treatment can be used.
