Emergency treatment and nursing of children with severe pneumonia complicated by heart failure and respiratory failure: 10 case reports

Li, Wanli; An, Xinjiang; Fu, Mingyu; Li, Chunli

General information. Ten cases of children diagnosed with severe pneumonia according to the guidelines of the World Health Organization were included in the present study (16) . In this group, there were 6 males and 4 females, aged 1 month to 6 years. The children patients were hospitalized due to fever, cough, asthma, dry and wet rales could be heard in lung auscultation, and a chest X-ray showed thickened lung markings with visible punctate and flake-like shadows. The children patients refused any intake of dairy products or food. There was one case of concurrent toxic encephalopathy, 1 case of gastrointestinal bleeding, and 1 case of toxic intestinal paralysis. The physical examination showed a body temperature of 38.5-40ËšC, pulse rate of 120-190 beats/min, breathing of 30-60 beats/min, and dry and wet rales could be heard in lung. The X-ray examination showed thickened lung markings, and flake-like shadows, and abdominal palpation showed enlarged liver and spleen. Respiratory or circulatory functions were at different levels of exhaustion.