Abscess clinical manifestation of lung and treating _'s general knowledge

Abscess clinical manifestation of lung and treating _'s general knowledge
Lung abscess
Lung abscess is that the limitation that is organized by lung necrosis and produces has cavities of liquid of suppuration. Inflammation organized with the lung around at the same time. Organize necrosis as the main content with the lung in pathologic course. If infect lung abscess initiated with the anaerobe, is shown as the corruption phlegm of stench, and infect lung abscess initiated with the aerobic fungus and show as it is not the frustrating phlegm liquid of chest. But always by spitting a large amount of suppuration liquid phlegm as the characteristic. Disease this occur frequently on between twenty and fifty, and men exceed women.
Clinical manifestation
. Get up disease to be mostly worried and sudden, discomfort all over the body, fear the cold, shiver with cold, the hyperpyrexia can reach over 39 , cough and take the phlegm, spirit is dispirited, lose the appetite, there can be chests to ache.
. Onset last one about week, begin, spit a large amount of suppuration phlegm, daily the intersection of end and the intersection of phlegm and quantity can up to several hundred. The body temperature drops.
. Unless pathological change such as developing into it is chronic consuming, it is cough to still have, suppuration phlegm,there are getting less sometimes much and sometimes in quantity on phlegm, and spitting blood repeatedly and abnormality generates heat, become thin etc., very person present anaemia.
Diagnosis
. Typical clinical manifestation
. The blood is like the inspection: Do acute leucocytes count 20-30XlO? /L, neutral cells obviously increase. The chronic patient can not obviously change.
. Patient's phlegm liquid stench, is due to anaerobe. If without obvious foul smell, it is due to aerobic fungus.
. The pathological change range is relatively small, and the deeper one of position, there can not be unusual physical sign. Pathological change range relatively loud, at with a large number of inflammation, the percussion presents voiced sound or flatness. Can hear the respiration to lower in auscultation, or there are wet rales.
. X-ray examination: Shade that the early density large stretch of in shape increases. Become the suppuration one, it is obvious the round single cavity, there are levels of liquid inside. Routed suppuration one, the cavity wall becomes thick. Can be seen vertical diaphragm to suffer from side, shift convalescence, it is thick for pleura to increase.
. The phlegm slide, phlegm are trained and checked, contribute to confirming pathogens and choosing the medicine.
. Distinguish in conformity with diseases such as note boiling and bacterial pneumonia, cavity pulmonary tuberculosis, bronchus lung cancer,etc..
Treat
. Medicine treatment of Western medicine
Resist and grow the treatment of Beijing: First-selected penicillin, 2 million for every day - 10 million units, the vein is instilled. Getting insensitive to penicillin, select very mould and plain forest for use and Klim mould and plain, 600 milligrams each time, 3 times a day, the vein is instilled. After lung pathological change of X-ray examination totally disappears, can stop using antibiotic.
Treatment to the ill
It is humoral to supplement, the hyperpyrexia person gives, brings down a fever medicines.
Arrange the phlegm: Use, eliminate the phlegm medicine: Bathe in 30 milligrams of easy phlegm, 3 times a day. Or must cough 30 milligrams definitely, 3 times a day; Adopt the atomization of medicine to suck people or wash and suck the phlegm with the fibrous bronchus mirror; Adopt the body posture to guide. Promote the phlegm liquid to discharge. 2~3 times a day.
Surgical treatment: Suitable for abscess prolongedly to manages and does not heal, the suppuration does not contract yet, can't control to infect, person who doesn't have operation taboo disease.
. Traditional Chinese medicine treatment
(warm to attack the lung while being evil) in initial stage : Unless it generate heat it is proud evil cold, cough, ache chest, spit white to stick by phlegm,there are very thirsty on mouth, tongue tongues red is thin and yellow, pulse floats and counts slipping.
Manage the law: Expell wind, clear away heat, should the lung reduce phlegm.
Square medicine: 30 grams of honeysuckle, 20 grams of forsythia, 10 of burdock, 10 of the root of large-flowered skullcap, of 10 gram in Radix Platycodonis growing 10 of licorice root, ZiYe Su 10, melon wither 30, 30 of Herba Houttuyniae, henon bamboo leaf 10 respectively
Chinese medicine: Antelope clean the breath pill.
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