Abscess clinical manifestation of lung and diagnosing _'s symptom

Abscess clinical manifestation of lung and diagnosing _'s symptom
Lung abscess is the lung caused by many kinds of bacterial infection to organize suppurative inflammation, then necrosis forms abscess. The majority is infected with the anaerobe. Originally recovering from illness and taking place people to Yu ZhuangNian, men exceed women. Can be divided into three kinds of types clinic: Sucking, blood source and then sending. Among them see more with acute sucking lung abscess. Get up disease to be worried and sudden, fear cold, hyperpyrexia, cough, cough the intersection of mucus and suppuration phlegm, cough a large amount of yellow the intersection of suppuration and phlegm after the 1-2 week, take stench flavor more; Discharge poisonous blood symptom and often take a favorable turn with a large amount of suppuration phlegm, the body temperature drops. The blood leucocyte is counted and neutral cell ratios are apparent increase. It is flat that a scene of display of chest has round printing opacity district and liquid in the large stretch of dense inflammation shade, it take place more it is at leaves upper back segment,leaves lower last section and after basis section. The treatment relies mainly on selecting heavy dose of effective antibiotic and phlegm liquid for use and guiding. This disease treats the prognosis rationally in time well, treating improperly can form chronic lung abscess.
Clinical manifestation
1.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.
2.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.
3.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
1.Typical clinical manifestation
2.The blood is like the inspection: Do acute leucocytes count 20-30XlO? /L, neutral cells obviously increase. The chronic patient can not obviously change.
3.Patient's phlegm liquid stench, is due to anaerobe. If without obvious foul smell, it is due to aerobic fungus.
4.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.
5.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.
6.The phlegm slide, phlegm are trained and checked, contribute to confirming pathogens and choosing the medicine.
7.Distinguish in conformity with diseases such as note boiling and bacterial pneumonia, cavity pulmonary tuberculosis, bronchus lung cancer,etc..
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