What symptom does serious pneumonia have?

summary

Severe pneumonia refers to the inflammation of terminal airway, alveoli and pulmonary interstitium. Its symptoms: fever, shortness of breath, persistent dry cough, may have unilateral chest pain, deep breathing and cough chest pain, a small amount of phlegm or a large amount of phlegm, may contain blood. Children with pneumonia, symptoms are often not obvious, may have a slight cough or no cough at all. Attention should be paid to timely treatment. What symptom does serious pneumonia have? What symptom does serious pneumonia have?

What symptom does serious pneumonia have?

Body breathing rate > 30 beats / min; Pulse ≥ 120 beats / min; Blood pressure < 90 / 60mmhg; Body temperature ≥ 40 ℃ or ≤ 35 ℃; Disturbance of consciousness; There are extrapulmonary infection foci, such as meningitis, and even sepsis (infectious poisoning).

The age of history was more than 65 years old; There are basic diseases or related factors, such as chronic obstructive pulmonary disease (COPD), diabetes, chronic heart disease, renal insufficiency, chronic liver disease, hospitalized within one year, suspected aspiration, abnormal consciousness, status after splenectomy, long-term alcoholism or malnutrition.

The abnormal WBC count in laboratory and imaging was more than 20x109 / L; When breathing air, PaCO2 > 50 mmHg; Serum creatinine > 106umol / L or blood urea nitrogen > 7.1mmol/l; Hemoglobin < 90g / L or hematocrit < 0.30; Plasma albumin was 25g / L; Evidence of infectious poisoning or disseminated intravascular coagulation, such as positive blood culture, metabolic acidosis, prolonged prothrombin time and partially activated thromboplastin time, thrombocytopenia; Chest X-ray showed that the lesion involved more than one lobe, cavity, rapid spread of the lesion or pleural effusion.

matters needing attention

At present, there is no universally accepted standard for severe pneumonia. If patients with pneumonia need respiratory support (acute respiratory failure, gas exchange deterioration with hypercapnia or persistent hypoxemia), circulatory support (hemodynamic disorders Severe pneumonia can be considered as severe pneumonia (peripheral hypoperfusion) and intensive care and treatment (infectious poisoning caused by pneumonia or other organ dysfunction caused by underlying diseases).