Clinical Study and Analysis of 700 Cases of Pneumonia in Children View PDF

*Rui Wang
Department Of Clinical Pediatrics, Xi'an Medical University, China

*Corresponding Author:
Rui Wang
Department Of Clinical Pediatrics, Xi'an Medical University, China
Email:jiaofy@yeah.net

Published on: 2018-04-25

Abstract

Pneumonia is a common acute disease of the respiratory tract in childhood. In this paper, 700 cases of pneumonia in Changan Hospital of Xi’an city [1-3] were summarized. All seasons are easy to occur, especially in winter and spring. It is easy to recurrent attacks affect the growth and development of children, if the treatment is not complete. The clinical data of the children are reported as follows: From January 2016 to December 2016, 700 cases of children pneumonia in Changan hospital in Xi’an were investigated in 1 pairs of 1 [4]. Among the 700 children, 437 were boys and 263 were women; 252 cases aged 2 were occupied 23%.

Keywords

Treatment; Injury; Children; Pneumonia; Complications

Introduction

According to the latest research reports, Pneumonia is still the first cause of the death of the in our country, Serious threat to children’s health, Because of its serious clinical manifestations, rapid progress, and a dangerous condition, the mortality rate has remained high. There is no definite diagnostic standard, and the diagnosis of etiology is very difficult. Through the analysis of the results of 700 cases of pneumonia, children’s pneumonia is not only caused by some bacteria or viruses, but also often caused by the mixed infection of both. Some children have mycoplasma infection. Through the above analysis, we can draw a conclusion (Table 1). The cure rate of Cephalosporin antiviral drugs is 90%, the cure rate of cephalosporin and Archie is over 90%, it is shows that Children pneumonia is an infectious lung disease caused by a variety of pathogenic microbes and protozoa [1-8]. Because of low immune function in children and imperfect defense function of respiratory system?pediatric pneumonia has become one of the most common diseases in children. Morbidity and mortality are far higher than those in young adults. The incidence of pneumonia in children is rapid, respiratory symptoms are obvious, and the condition of the disease is progressed rapidly, and other complications can occur. If the treatment is unseasonal, it can lead to serious consequences, The clinical manifestations of partial pneumonia in children are not typical, which results in the early diagnosis of pneumonia in children, and it is easy to develop into severe pneumonia. At present, children with pneumonia disease are more serious, there will be more factors to induce the emergence of pneumonia, seriously infringing the health of the children’s lungs. This is some of the knowledge that we have to know. The clinical manifestations of respiratory symptoms is shortness of breath, cough, expectoration, mostly white phlegm, Other manifestations were fever, drooping spirit loss of appetite, abdominal pain, diarrhea, vomiting. The lungs can be heard dry and wet rales, individual can hear wheeze sounds. The necessary examination he showed that the total number of white blood cells increased and the classification of neutrophils increased. The chest X-ray, or CT, showed that the double lung texture was thickened, and the increase was blurred, visible scattered in between, high density shadow, edge blurred. Part of the children was large, reticulate. The common pathogenic bacteria of bacterial pneumonia are Streptococcus pneumonia, Staphylococcus aureus, Streptococcus, gram-negative tumors and so on. Bronchopneumonia caused by Streptococcus pneumonia is the most common in infancy. The common virus of viral pneumonia is respiratory syncytial virus, adenovirus, influenza virus and Para-influenza virus; In addition, there are mycoplasma, chlamydia, fungi, protozoa, etc. Pathogens are mostly invaded by respiratory tract, causing bronchioles, alveoli and interstitial lung inflammation, causing small airway stenosis or even obstruction, resulting in ventilation disorders. Inflammation causes

Table 1: Healed children are automatically discharged from the hospital.

Curative effect Cephalosporin + Antiviral Cefotaxime + Archie Penicillin + Antivirus
Cure 503 people 71.85% 102 people 14.57% 15 people 2.14%
Improve 35 people 5% 22 people 3.14% 4 people 0.57%
Healed 13 people 1.86% 5 people 0.71% 1 people 0.14%

thickening of respiratory membranes and inflammatory exudates in alveolar cavity, resulting in ventilation disorder. Hypoxic and carbon dioxide retention, even respiratory failure caused by ventilation and ventilation disorder, the reflex contraction of the pulmonary artery causes increased pulmonary arterial pressure, and the effect of pathogens and toxins can cause toxic myocarditis. The results of two factors together lead to psychological exhaustion, hypoxia and the role of pathogen toxin. It can also cause toxic encephalopathy, hemorrhage of digestive tract and toxic intestinal paralysis, as well as metabolic and respiratory acidosis, electrolyte disorders encephalopathy, disseminated intravascular coagulation may occur in severe cases.

Conclusion

In the developing countries, Lower respiratory tract infection is usually the main cause of death or next to diarrhea, The most common cause of the disease is bacteria, of which Streptococcus pneumonia is the most common, other pathogens including anaerobic bacteria, Staphylococcus aureus, Homophiles influenza, parrot fever, Chlamydia trachomatis, M. Mora and Legionella pneumophila, Klebsiella pneumonia and other gram negative bacillus coli. Mycoplasma pneumonia (MP) is a particularly common cause of older children and young people, common in spring. The main pathogens of pneumonia in infants and children are viruses: respiratory syncytial virus, adenovirus, Para-influenza virus, type A and B influenza virus [9]. With the widespread use of antibiotics and the changes in the body’s responsiveness, low immune function in children and imperfect defense function of respiratory system?pediatric pneumonia has become one of the most common diseases in children. Morbidity and mortality are far higher than those in young adults. The incidence of pneumonia in children is rapid, respiratory symptoms are obvious, and the condition of the disease is progressed rapidly, and other complications can occur. Infantile pneumonia is the main anti infection and treat the complications. At the time of anti-infection, a wide range of antimicrobial spectrum, less drug resistant bacteria, and low toxicity of liver and kidney are used, combined use of two kinds of broad-spectrum antibiotics, Such as cephalosporin’s, macrolides, and antiviral drugs, and give oxygen therapy, nutritional support, Correcting the acid-base balance and electrolyte disturbance in some children, actively dealing with the complications.

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