Lobar pneumonia

Lobar pneumonia is a common disease caused mainly by pneumococci, characterized by lesions of the lobe of the lung or more segments. Lobar pneumonia suddenly begins with chills and fever up to 39-40 degrees. Marked chest pain, aggravated by coughing or deep breathing, coughing at first dry, sometimes painful, but by the end of the first day you receive viscous sputum, separated with difficulty. Sometimes sputum contains streaks of blood or has a rusty-bloody color. On the lips, around the nose - herpes. On the face of the patient noticeable feverish glow. Breathing ecasino to 30 and more than a 1 minutes When breathing is marked swelling of the nose wings. The patient is forced position on the sick side, because it would limit the respiratory motion sick half the chest, decrease pain, easier breathing healthy lung.
Over an area of inflammation is celebrated in the beginning of tympanic shade of percussion sound, transforming into dullness; heard a rougher bronchial breath, repetiria and wet fine basal rales and often the friction noise of the pleura. To the General symptoms of toxicity include: headache, insomnia, delirium. Pulse quickens up to 100-120 beats and more, arterial blood pressure slightly decreases or remains normal. Over the apex of the heart can be listened systolic murmur. At the beginning of the disease may be nausea, vomiting, sometimes subikterichnost sclera. In the blood - leukocytosis (15 000-20 000 1 mm3 and above), the increase band neutrophils, a reduction in the number of eosinophils, ROE accelerated. The temperature is kept at a high figures for 5-7 days, then within one day is declining rapidly (critical temperature drop) to the normal figures, sometimes even below the norm. The temperature drop is accompanied by strong perspiration. During this period, easily separated sputum. As resorption inflammatory exudates gradually disappear symptoms of the illness, but weakness remains for a long time.
Currently, this "classic" clinical picture lobar pneumonia is rare; lobar pneumonia occurs less difficult and not all the symptoms are expressed even in the midst of illness. With proper and timely treatment of the disease through two or three weeks ends recovery. In case of complications (lung abscess, pleurisy, and others), the disease is delayed. If exudate not absorbed and fibrin, located in the alveoli, grows connective tissue sections of lung lose airiness and becoming brown-red appearance resembling meat, there comes so-called carnificina lungs. When lobar pneumonia is possible a lethal outcome.