Abscess diagnosis of lung and differential diagnosis _'s treatment

Abscess diagnosis of lung and differential diagnosis _'s treatment
[Diagnose ]
Until oral cavity operation, go into a coma, vomit and foreign matter suck, acute the intersection of fear and cold, hyperpyrexia, cough and cough a large amount of the intersection of suppuration and the intersection of bad smell phlegm,etc. and medical history that break out, combine total number of leucocytes and neutral cells and increase notably, there are suppuration and X-ray sign of the liquid level in the wild large stretch of dense inflammation shade of lung, can make diagnosis. The blood, phlegm are trained, including the anaerobe is trained, separate bacteria, contribute to making the etiology to diagnose. There are skin wounds that are infected, purulent venereal disease cooking stoves such as furuncle, carbuncle,etc., generate heat and does not retreat and have cough, expectoration,etc. symptom, the X-ray examination of chest shows second lung occuring frequently small abscess, can diagnose as blood source lung abscess.
[Differential diagnosis ]
It is distinguished with the following diseases that lung abscess answers.
(1) Bacterial pneumoniaIt is very similar that early lung abscess and bacterial pneumonia behave at symptom and X-ray. Pneumonia and coccus pneumonia are the most common in bacterial pneumonia, often have lip bleb, ferruginous phlegm and not have a large amount of yellow suppuration phlegm. One shows lobe of the lung or Duan Shi and becomes or takes the form of the thin inflammation pathological change of slice in the chest X-ray, smudgy edge, but there is not suppuration that take shape. Other staphylococcus, pneumonia and bacillus pneumonia which have purulent sexual orientation,etc.. The bacterium of the phlegm or blood can be distinguished to separate.
(2) Cavity pulmonary tuberculosisThe onset is slow, the course of disease is long, with tuberculosis and toxic symptom often, if the low-heat, weak and night sweating, coughing for a long time, spitting blood etc. in the afternoon. Block shows the cavity wall thicker, can be seen tuberculosis and soak the focus around it in the chest X-ray, or with spot, the intersection of tubercle and the intersection of form and pathological change, have the intersection of liquid and level generally in the cavity, sometimes with sow scattered focus with side or tuberculosis of offside. Can find the tubercle bacillus in the phlegm. Continue and send it while infecting, there can also be yellow suppuration phlegm of volume, should accord with over the history, is treating and continuing sending while infecting, check repeatedly the phlegm can be made a definite diagnosis of.
(3) Bronchus lung cancer It causes and carries lung blockade inflammation far that tumour blocks the bronchus, present the lobe of the lung, section and is distributed. The necrosis liquefaction of cooking stove of cancer forms the cancer cavity. The onset is relatively slow, do not often have or only have a toxic symptom of minuent. Chest the intersection of X-ray and block show cavity it takes the form of the off-centre, wall to be relatively thick often and the intine is full of bumps and holes, generally have no level of liquid, there is no inflammation to react around the cavity. Often shift because of cancerous swelling, so often see lung door lymph node big. Take a photograph of slice, chest CT scanning, phlegm and loss cells and is checked and checked and can be made a definite diagnosis of with the fibrous bronchus mirror through the floor of body of X-ray.
(4) Lung cyst is continued and taken place and is infected withLung cyst is shown in round, one of walls is thin and smooth, often with the level of liquid, there is no inflammation to react around. The patient does not often have obvious toxic symptom or cough. If there is X-ray slice before infecting that is compared, it is apter to distinguish.
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