I have chest pain since pneumonia

After pneumonia, patients will still feel some pain in their chest. The best way is to carry out targeted treatment, do not exercise too much, and pay more attention to bed rest. In this way, the treatment effect will be better. When appropriate, you can also cooperate with some antibiotics and other drugs for treatment, so as to improve your body's resistance.

1. General treatment

Lie flat, breathe oxygen, and keep warm.

2. Antimicrobial treatment

The principles should be early, broad-spectrum and effective. Before the pathogen is identified, treatment can be carried out with penicillin (penicillin oxypiperazine), ticarcillin (ticarcillin plus potassium clavulanate); cefuroxime, cefotaxime, cefoperazone, ciprofloxacin, ofloxacin, etc. Adjust antimicrobial drugs after obtaining the results of pathogen culture and drug sensitivity test.

3. Anti-shock treatment

For patients without renal insufficiency, 800-1000ml of fluid can be quickly infused according to the patient's heart rate, blood pressure, and urine volume. The infusion rate can be slowed down after the blood pressure returns to normal and the urine volume is greater than 30ml/h. The 24-hour fluid replacement volume can reach 3000-4000ml. The fluid choice is mainly crystalloid (normal saline, 5% sugar saline, balanced salt), and colloidal solutions such as albumin, whole blood, etc. can be appropriately supplemented when necessary. The commonly used one is low molecular weight dextran. On the basis of replenishing blood volume, vasoactive drugs such as dopamine, dobutamine, metaraminol or scopolamine can be used as appropriate.

4. Correct acidosis

The amount of alkali supplement is calculated as 1mmol=0.3×(normal HCO3- - measured HCO3-)×body weight (kg) (1mmol=2.1ml4% sodium bicarbonate). First input 1/3 of the calculated amount, and then supplement according to the condition and blood gas values. Acidosis can also be corrected with 11.2% sodium lactate and 3.63% tris(hydroxymethyl)aminomethane.

5. Adrenal cortex hormone

Methylprednisolone, hydrocortisone or dexamethasone, and ranitidine at the same time. Prevent stress ulcers.

6. Prevent and treat complications

If there are signs of early heart failure or acute pulmonary edema, cedilanid may be given, and furosemide may be added at the same time. If acute respiratory distress syndrome, disseminated intravascular coagulation, renal failure, or cardiac arrhythmia occurs, appropriate treatment should be given.

7. Treatment methods

Severely ill patients and those with unstable blood pressure must be sent to hospital for treatment. Those with milder conditions can be treated at home after their condition stabilizes. Pay close attention to changes in vital signs. Those with fever should drink more water. If the body temperature is above 39°C, use 50% to 75% alcohol for bathing or ice pack to cool down. If the phlegm is difficult to cough up, use nebulizer inhalation or pat the back gently to expel the phlegm. The method is to put five fingers together and bend them into an empty fist, start from the bottom of the patient's back and gradually tap upwards, and tap repeatedly. If there is a lot of phlegm, the patient should be placed in a position with the head low and the feet high, or the patient's bed feet should be raised to place him in a prone position, to promote the drainage of phlegm.