General knowledge of checking _ that lung abscess should be made

General knowledge of checking _ that lung abscess should be made
1.The blood is checked
Continue, send infect, can have detailed brain count, increase in vain, nuclear to move to left, the course of disease is long or spits blooding. Can have anaemia, erythrocyte sedimentation rate increase soon,etc. while being getting serious.
2.The phlegm liquid is checked
The phlegm liquid slide can find the blue positive and negative bacterium of leather, can detect pathogens to train, it contributes to the choice of sensitive antibiotic that the phlegm is trained.
3 . X-ray examination of chest
It is a main diagnostic method of lung abscess. Because abscess has characteristic of spreading to different leaves, can involve the leafy even the whole lung. Happen position when being above-mentioned at the beginning, take, suspect, have special cause of disease, for instance tumour stopping up abscess or lung cyst is infected. Lung abscess changes in variant stages pathology very big, the X-ray differs widely too. Acute one (within one week) It is the large stretch of dense fuzzy shade, distribute in leaf section and take the form of wedge, sharp to the lung door, the thoracic cage is stuck outside closely, mediastinal or the pleura among the leaf; Under treating, the shade changes very fast.
When abscess communicates with bronchus, namely the cavity appears, because of guiding bronchuses a lot of non- unobstructed, add the factor of body posture, the liquid of suppuration can't be totally discharged, the level of common liquid on one. Because the wall is thick, in addition, there is inflammation around, there is thick layer outside, cloud vaporific inflammation soaks the shadow, chronic there are fibers around. Cavity big or small and shape differ, can be shown in round, ellipse or irregular shape, it is many rooms to be many. Take a favorable turn after treating, cavity shrink, disappear, leave the intersection of fiber and pieces of the intersection of form and shade and pleura plump shadow Suo gradually then.
4 . CT checks
Fault (including CT) But more easy to find out about pathological change in the range, position, cavity situation. The liquid of suppuration has not been discharged in a few abscess, been shown as the round piece shadow, but there are small cavities in can be seening, there are not many ones that really presented real one, apt to be tumour by mistake. The fiber obvious lung volume shrinks, the bronchus is totally stopped up there can be lungs one. It is obvious the pleura is increased thick among the leaves. Abscess breaks and forms empyema or suppuration pneumothorax to the thorax, change correspondingly on the chest slice.
5 . The fibrous bronchus mirror is checked
The fibrous bronchus mirror inspection had better go on when patient's situation is more steady, don't check when hyperpyrexia and respiratory tract inflammation are serious. The purpose of the check: Except foreign matter and tumour at bronchus,it have can take out foreign matter, live to examine and brush slice row suspected to have tumour. Understand bronchus inside information condition, being generally can be seen bronchus congesting, edema, inflammation or cicatrixed is narrow, easy to determine, treat way further, have cicatrix to be narrow already, carry lung, have, prop up expand or piece far, need more operations. Understand suppuration source, define the sick position, suck suppuration at the same time, pour into bronchiectasis pharmaceutical and antibiotic,etc.. Such therapeutic inspection can be carried on once every week. Can also examine hole, put thin conduit into, suck suppuration and the intersection of note and medicine in the intersection of suppuration and while being living by bronchus, the result is better. Except bacteriology can't diagnose clear or tuberculosis, can fetch secretion, check from the intersection of bronchus and dark department tuberculosis fungus and general fungus train until medicine sensitive to test.
6 . Bronchus radiography
It is quite obvious that the bronchus of lung abscess changes, can find out about sick position and range in bronchus radiography, find the flat sheet of not seeing or indeterminate pathological change on the faults, to confirming that it is helpful to treat principle and surgery way. Can see the bronchus expanded in radiography, plentiful suppuration, distortion narrow and bronchus pleura Lou out of shape of the bronchus. The characteristic of lung abscess " More than three " Can see in the radiography, namely: Suppuration of many rooms, is communicated by the irregular sinus; Prop up and guide more, namely a suppuration has more than 1 bronchuses to guide; It is infringed that leafy.
Radiography had better make when do not spit blood, there is few phlegm, through fine to prop up mirror the intersection of phlegm and note radiography pharmaceutical inhale clean, if necessary, plentiful and better, take a photograph of all right pairs of the intersection of radiography and pharmaceutical aspiration after the slice. Because it is painful and dangerous that the radiography has the certain one (such as causing big hemoptysis) ,As preparing the whole lung of conduct and excising, needn't do.
7 . The lung function is checked
It is obstructive to be mainly shown as and keep in touch with the obstacle. There can be partial pressure of oxygen of arterial blood to reduce and drop with the arterial oxygen saturation in later period.
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