Pneumonia and complications in children
Symptoms of complications of pneumonia in children can be manifested both during the course of this disease, and after some time after the onset of the period of relative improvement. There are immediate acute complications of pneumonia in children and long-term consequences. The latter can remind themselves of various calcifications, strands and calcareous deposits throughout the entire subsequent life of a person. Therefore, the treatment of pneumonia in children should be approached responsibly. It is also necessary at the first sign of complication of pneumonia to take adequate medical measures. Acute respiratory and heart failure, arising as a complication, can lead to the death of the child.
Respiratory failure – this is the most common type of complications of the course of any form of pneumonia in children of young and middle age. Signs of complication of pneumonia in the form of respiratory failure are characteristic for this condition. This is shortness of breath, shallow breathing, cyanosis of the lips and nasolabial triangle, quickening of breathing.
There is a special classification of respiratory failure:
- I degree – dyspnea occurs with habitual physical activity;
- II degree – shortness of breath with little physical exertion;
- III degree – significant shortness of breath at rest.
Classification of respiratory insufficiency for young children:
With a deficit in the supply of heart energy resources, panangin, potassium chloride, cocarboxylase, riboxin, a polarizing mixture are added to the therapy once a day
(take 10% glucose solution at the rate of 10 ml per 1 kg of the child's weight and add to every 100 milliliters of a solution of 2 units of insulin and 4 milliliters of 7.5% of potassium chloride in the injection solution, the mixture is dripped intravenously).
In case of cardiac insufficiency of the first degree, sufficient measures are the protective regime, oxygenotherapy, korglikon in combination with panangin and cocarboxylase, increased doses of ascorbic acid and pyridoxine hydrochloride.
In coronary insufficiency, neurovegetative blockades with obligatory use of papaverine and droperidol are carried out, and cardiac glycosides are prescribed. Contraindicated eufillin, as a drug, increases the need for cardiac muscle in oxygen. If it is necessary to appoint it, you should carefully evaluate the general condition of the sick child and the possible risks.
Complex measures for the treatment of pulmonary edema:
- oxygen therapy;
- defoaming (inhalation for 30-40 minutes with a gas mixture containing 30% ethyl alcohol vapor, antifosilane);
- support airway patency (regular suction of the contents of the bronchial tree);
- the appointment of antipsychotics;
- use of diuretics (furosemide intravenously in a dose of at least 2 mg / kg).