Студопедия.Орг Главная | Случайная страница | Контакты | Мы поможем в написании вашей работы!  
 

A. Lobular Pneumonia



The disorders of the respiratory system still figure largely in the list of causes of death in infancy and childhood. The incidence and severity of respiratory system diseases are due to immaturity of the respiratory organs in children. The most common types of inflammation of the lungs are croupous or lobar pneumonia, and bronchopneumonia or lobular pneumonia (catarrhal pneumonia).

Lobar pneumonia is caused by pneumococci, streptococci, staphylococci. In lobar pneumonia one lobe or a portion of a lobe may become affected. The pathologic process often arises in the lower right lobe, then in the lower left and upper right lobes. The onset of lobar pneumonia is sudden. Pain in the side is often absent in children, especially young ones. Cough is usually slight or even absent. Respiration is shallow and accelerated. The pulse-respiration ratio falls to 2-3:1. The temperature may reach 40ºC at the height of the disease.

Auscultation and percussion reveal bronchial respiration, dullness, moist bubbling râles and crepitation. On auscultation attention should be given to the following spaces: the axillae – early appearance of bronchial respiration in lobar pneumonia, the paravertebral spaces – frequent localization of bronchopneumonia in babies and interscapular space – onset of pneumonia.

Usually children ill with lobar pneumonia respond well to bed regimen, fresh air, light diet, good care and specific therapy consisting of sulfonamides and antibiotics. In the convalescent stage the deeper respirations induced by exercises as well as open-air life will tend to promote resolution of the consolidation in the lung.





Дата публикования: 2014-10-17; Прочитано: 1867 | Нарушение авторского права страницы | Мы поможем в написании вашей работы!



studopedia.org - Студопедия.Орг - 2014-2025 год. Студопедия не является автором материалов, которые размещены. Но предоставляет возможность бесплатного использования (0.166 с)...