Croup pneumonia is an acute inflammatory disease of the lungs, covering large areas of the lung or the whole lung. Often the process involves and pleura, which served as the basis for the name of the shared pleuropneumonia. In the sputum, you can find the freebreds of Friedlander. pneumococcal infection of Frenkel-Vekselbaum 1234 prefabricated type and other microorganisms.
Causes of croupous pneumonia
The provoking factors of the disease are the state of the body and a number of environmental factors: hypothermia, changes in the central nervous and autonomic nervous system, the presence of infection in the respiratory tract, a tendency to allergic reactions. 1-2 weeks before the onset of croupous pneumonia, there are usually influenza, angina, carat of the upper respiratory tract. And immediately before the onset of croupous pneumonia there is a cold syndrome. Sometimes the disease occurs as a result of bronchial blockage.
Croupous pneumonia is characterized by infection pathways: hematogenous, lymphogenic and bronchogenic. Stages of croupous pneumonia: hyperemia, red and gray hepatitis, resorption. Each cycle lasts 7-9 days.
Symptoms of croupous pneumonia
Symptoms develop in two versions: against a background of complete health with a sudden onset of the disease and against the background of an infection of the upper respiratory tract (influenza).
To start the disease is characterized by high fever, severe chills, pain in the side, dry, exhausting cough.
On day 3 sputum appears with blood - the so-called. rusty sputum.
Breathing is weakened and increases, the normal ratio of respiration and pulse is exceeded 1: 4.
On the side of defeat there is hyperemia of the cheek.
In the area of the affected lung, a sound with a tympanic tinge is audible. Later on, chest tremor appears in this area, bronchial breathing and crepitation occur. Then the breathing becomes hard with a lot of wheezing.
"Biliary" forms of severe pneumonia are accompanied by jaundice - the liver is damaged, its antitoxic functions decrease.
There are changes in the cardiovascular system, expressed in tachycardia, changes in the cardiogram, arterial and venous hypotension (low blood pressure).
There are also disorders from the nervous system: headache, delirium, insomnia.
An X-ray image shows a darkening of the lung tissue in the affected area, which decreases with the attenuation of inflammation.
The disease proceeds cyclically: on the 7-11th day the temperature drops, while sweating increases and there are phenomena of vascular collapse. When using chemo-therapeutic therapy, as well as antibiotics, the crisis occurs earlier - on 2-3 days. The resolution process ends on day 10 and later.
The fatal outcome in croupous pneumonia was earlier in 5-12 cases out of 100 sometimes more, now significantly reduced.
Complications after croupous pneumonia - nephritis, pneumococcal endocarditis, lung lining, pleurisy, pulmonary festering.
Treatment of croupous pneumonia
The patient is placed in the hospital without fail. Assign sulfonamides, in severe cases, penicillin antibiotics. Along with this - injections of camphor, oxygen pillows, intravenous strophanthin or korglikon, insulin-glucose therapy.
Symptomatic treatment at the onset of the disease consists in the use of codeine with a strong cough, in the future - expectorant medicines.