What are the complications of community-acquired pneumonia

Community-acquired pneumonia refers to parenchymal lung infections that occur outside of a hospital, including those with pathogens with a defined incubation period that develop after admission. Common clinical manifestations include fever, cough and sputum production.

1. Heart failure: some patients may have symptoms such as dyspnea and hypoxemia, and the changes in the condition should be closely monitored during the treatment process, and corresponding treatment measures should be given in time;

2. Acute kidney injury: If the water and electrolyte imbalance and acid-base imbalance are not corrected in time, it may develop into multiple organ dysfunction syndrome (MODS), which may even be life-threatening in severe cases;

3. Meningitis or brain abscess: the main manifestations are headache, vomiting and altered consciousness and other neurological symptoms, and lumbar puncture examination is required to rule out the occurrence of cerebral herniation caused by increased intracranial pressure;

4. Other complications: such as shock, gastrointestinal bleeding, hepatosplenic rupture, ascites effusion, pleural effusion, chyluria, etc., if found, corresponding measures should be taken to control and alleviate it in time.

Treatment of community-acquired pneumonia mainly includes general treatment, anti-infective drug therapy, and other supportive care.

1. General treatment: bed rest and keep indoor air circulation, pay attention to keeping warm; The diet should be light, easy to digest and rich in nutrients, and avoid spicy and irritating foods;

2. Anti-infective drug treatment: select appropriate antibiotic drugs according to the results of drug susceptibility test, and the commonly used drugs mainly include amoxicillin, clavulanate potassium tablets, cefuroxime ester capsules, etc.;

3. Other supportive therapies: if necessary, glucocorticoids can be used to reduce inflammation and improve the immune status of the body according to the doctor's instructions, and commonly used drugs such as dopamine injection and hydroprednisolone injection.