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Pneumonia Acute pneumonia.

In pregnant women, pneumonia often proceeds more severely due to a decrease in the respiratory surface of the lungs, high standing of the diaphragm, limiting lung excursion, and an additional burden on the cardiovascular system.

The clinical picture of acute pneumonia is not different from that of non-pregnant.

With the development of pneumonia, shortly before childbirth, it is necessary to delay the development of labor activity with the help of p-mimetics and other means, since the birth act is dangerous due to the effect of toxic and infectious factors on the nervous and cardiovascular systems.

Treatment. The use of antibiotics makes it possible not only to successfully treat patients, but also to prevent fetal death. When choosing an antibiotic, they are guided by the sensitivity of microflora excreted in sputum to antibiotics, taking into account the duration of pregnancy and the effect of the drug on the fetus. The same antibiotics can be used in the same doses as in the treatment of acute bronchitis. We should not forget about antifungal drugs (nystatin or levorin in the amount of 1,000,000-1,500,000 units per day). Prescribe mucolytic agents. With a tendency to arterial hypotension, sulfocamphocaine, cordiamine intramuscularly is used. Oxygen therapy is very helpful.

As a rule, pneumonia is not a contraindication to the preservation of pregnancy. However, it should be borne in mind that the untimely and random administration of antibiotics leads to the formation of virulent forms of microorganisms that are insensitive to antibiotics, to dysbacteriosis, a decrease in the body's defenses, and as a result to an increase in the incidence of acute pneumonia becoming chronic. Pneumonia not resolved within 6 weeks is considered chronic.

Chronic pneumonia In chronic pneumonia of the first stage (classification of 1964), pregnancy is permissible. With stage II of the disease, pregnancy can be maintained, but patients should be treated for a long time in a hospital. In stage III of chronic pneumonia, respiratory and pulmonary heart failure are clearly expressed.
External respiration functions are impaired, oxygen absorption is reduced. Myocarditis cardiosclerosis develops - the pulmonary heart. With such a serious condition, pregnancy is absolutely contraindicated. Pregnant women should be hospitalized; with the help of medical procedures, the maximum possible improvement is achieved, after which the pregnancy should be interrupted.

Treatment. During periods of exacerbation of chronic pneumonia, antibiotics are prescribed. Antibiotics are indicated for these patients with colds (to avoid exacerbation of pneumonia). Oxygen therapy is advisable - inhalations, an oxygen “foam”, an oxygen tent, etc. The use of aminophylline is very effective, since this reduces pressure in the pulmonary circulation, i.e. aminophylline acts on the underlying pathogenetic mechanism of the pulmonary heart. In addition, aminophylline relieves bronchospasm. With circulatory failure, cardiac glycosides and diuretics are prescribed. You should not limit the intake of mucolytic agents (thermopsis, terpinghydrate, sodium benzoate). Drugs that inhibit the respiratory center in women and fetuses are contraindicated.

Childbirth in patients with chronic pneumonia of I and II stages does not have features, a woman can give birth through the natural birth canal, but therapy is necessary during childbirth: constant oxygen inhalation, with stage II disease, the introduction of 10 ml of 2.4% aminophylline solution. In patients with stage III chronic pneumonia, attempts are turned off using obstetric forceps or a cesarean section is performed. This is due to the fact that an increase in the volume of circulating blood characteristic of the pulmonary heart can cause acute right ventricular heart failure, weakened by the process of myocardiosclerosis and working under conditions of hypoxia due to blood flow from the uterus. In chronic pneumonia of the III stage, whatever the method of delivery, the therapy should include, in addition to oxygen inhalation and aminophylline administration, intravenous administration of cardiac glycosides.
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Pneumonia Acute pneumonia.

  1. Acute pneumonia
    Pneumonia is understood as an infectious disease characterized by focal lesions of the respiratory parts of the lungs with intraalveolar exudation and accompanied by a febrile reaction and intoxication. The following types of pneumonia are distinguished: a) community-acquired (community-acquired), b) nosocomial (hospital, nasocomial), c) aspiration and abscessed, d) pneumonia with immunodeficiency
  2. Acute pneumonia
    Acute pneumonia is an infectious disease caused by various associations of gram-positive and gram-negative microflora, a viral infection. Currently, the main pathogen is staphylococcus. D: Croupous pneumonia - acute onset, severe chills, severe headache, high body temperature, side pain, mild coughing, worse with deep breathing, severe
    - Acute inflammatory process of various etiologies and pathogenesis, localized in the respiratory parts of the parenchyma and in the interstitial connective tissue of the lungs. The main clinical manifestations Patients complain of cough with sputum, chest pain, shortness of breath, general weakness, fever. The nature of sputum should be considered. "Rusty" sputum is characteristic of croupous
  4. Acute pneumonia and bronchiolitis
    Most often, this type of respiratory failure is observed with pneumonia and bronchiolitis, sometimes it can complicate the course of bronchitis. The clinical picture of pneumonia In most cases, pneumonia develops acutely, sometimes after a viral infection. It occurs with a high temperature reaction, chills. Typical symptoms of pneumonia are cough, shallow breathing, shortness of breath with
  5. Acute pneumonia
    Clinical picture Inflammatory diseases of the lungs usually begin acutely. They are characterized by fever, chills, shortness of breath, the occurrence of pain in the chest when breathing, dry cough. Locally dry rales are heard in the lungs in the first days of the disease, later they become wet, dulling or shortening of percussion sound is determined percussion, weakening of breathing in
  6. Acute Complicated Pneumonia
    Acute pneumonia — acute inflammation of the lung parenchyma, confirmed by radiological methods. It is caused by bacterial, viral, rickettsial, chlamydial, mycoplasma, parasitic pathogens, some chemical agents, as well as allergic factors. Diagnostic criteria for acute pneumonia: - general intoxication syndrome: fever, lethargy,
  7. Acute pneumonia
    - respiratory syndrome at the onset of the disease or in the process - toxicosis syndrome of 1-3 degrees in the disease process - bronchial obstructive syndrome of infectious genesis is possible with bronchopneumonia - respiratory failure syndrome of 1-4 degrees - bronchopulmonary syndrome: increased vocal trembling and bronchophony in a certain segment, there same shortening of percussion sound, there is also a change
  8. Pneumonitis caused by food and vomit. Aspiration pneumonia
    ICD-10 code J69.0 Diagnosis Diagnosis Mandatory Level of consciousness, respiratory rate and effectiveness, heart rate, blood pressure, CVP, body temperature, skin condition R-graph of chest organs ECG Laboratory tests: hemoglobin, red blood cells, white blood cells, formula blood count, total protein, bilirubin, urea, creatinine, electrolytes, enzymes, blood coagulation
    Acute pneumonia is an inflammatory process that encompasses all lung tissue. The incidence rate is 3 - 4 per 1000 people (0.4%). The process affects the bronchioles, interstitial tissue, vessels and nerves are always involved. Patients should not die of acute pneumonia as the main disease with adequate therapy, but acute pneumonia may be concomitant with a number of
  10. Pneumonia in children
    Protocol code: 04-040а Profile: pediatric Stage: hospital Purpose of stage: 1. Relief of the inflammatory process in the lungs. 2. Elimination of DN symptoms, general intoxication, fever, restoration of lung excursion, disappearance of local physical data in the lungs, cough. Duration of treatment: 21 days ICD codes: J18 Pneumonia without specifying the pathogen J15.6 Pneumonia caused by
    In domestic pediatrics, pneumonia is defined as an acute infectious disease of the pulmonary parenchyma diagnosed by respiratory distress syndrome and / or physical data, as well as infiltrative changes in the radiograph. The presence of radiological signs is the "gold standard" of diagnosis, since it allows not to attribute viral lesions of the lower respiratory tract to pneumonia
    Pneumonia is an acute infectious disease characterized by focal lesions of the respiratory parts of the lungs with intra-alveolar exudation, detected by objective and x-ray examination, expressed to varying degrees by a febrile reaction and intoxication. Clinically significant is the division of pneumonia into community-acquired and nosocomial (hospital,
  13. Pneumonia
    Pneumonia is pneumonia, characterized by inflammation of the parenchymal, respiratory part of the lungs. Classification. According to the morphological form: focal, focal drain, segmented, lobar, interstitial. With the course: acute, protracted (in the absence of resolution of the pneumonic process in a period of 6 to 8 weeks). According to the development of complications: 1) pulmonary (synpneumatic pleurisy,
  14. Pneumonia
    PNEUMONIA (Mon) - an acute infectious lesion of the lower respiratory tract, confirmed radiologically, dominant in the picture of the disease and not associated with other known causes. The definition of Mon emphasizes the acute nature of inflammation, so there is no need to use the term "acute pneumonia" (in the International Classification of Diseases, adopted by the World Organization
  15. Congenital Pneumonia
    Protocol code: 15-138a Profile: pediatric Stage: hospital Purpose of stage: 1. relief of respiratory and cardiovascular failure, symptoms of general intoxication; 2. normalization of percussion and auscultatory picture in the lungs; 3. normalization of laboratory parameters. Duration of treatment: 17 days ICD codes: P23 Congenital pneumonia P23.0 Viral congenital pneumonia P23.1
  16. Pneumonia
    Pneumonia - inflammatory processes in the lungs as an independent disease or complications of other diseases. Classification (K.A.Sotnikova): intrauterine and neonatal pneumonia, bacterial, viral, parasitic, fungal, specific infections and mixed, bronchopneumonia, small and large focal, confluent, mono-and polisegmental, interstitial and abscessing, mild, medium
  17. Question 25 Pneumonia
    - An acute infectious and inflammatory disease of the pulmonary parenchyma with the involvement of all structural elements, mainly the respiratory departments of the lungs. The concept of "pneumonia" does not include lung lesions caused by physical and chemical factors, diseases caused by vascular and allergic changes, bronchitis, bronchiolitis and diffuse pulmonary fibrosis. Classification
    Acute pneumonia is understood to mean acute exudative inflammatory processes of various etiologies and pathogenesis, localized in the parenchyma and intermediate lung tissue, often involving the vascular system. Pneumonia as a nosological form is said when the causative agent of the disease is a nonspecific pathogenic or conditionally pathogenic flora, and the main
  19. Pneumonia in children
    The article “Pneumonia” is located in Section 4 “Emergency conditions for respiratory diseases”. Pneumonia in children is an acute infectious disease of the pulmonary parenchyma diagnosed by respiratory distress syndrome and / or physical data, as well as by infiltrative or focal changes in the radiograph. CLASSIFICATION ¦ According to the conditions of infection, pneumonia is divided into
  20. Acute pneumonia
    1. What is the synonym for croupous pneumonia: a) bronchopneumonia b) focal c) focal confluent d) segmental e) lobar Correct answer: d 2. What is the stage of croupous pneumonia? a) fibrinoid swelling Correct answer: in 3. The composition of the exudate in the 3 stages of croupous pneumonia: a) fibrin, red blood cells b) fibrin,
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