's general knowledge of emergency processing of family of lung abscess

's general knowledge of emergency processing of family of lung abscess

Lung abscess (lung abscess) Refer to the suppurative infection of lung caused by many kinds of pathogens, it is suppurative pneumonia to be early, then necrosis, liquefaction and abscess take shape. It is in clinical manifestation for hyperpyrexia, cough, a large number of suppuration or stink phlegm.

[Cause of disease ]

The mixing that primary lung abscess is mostly the suppurative bacteria is infected, most cells are the anaerobe, minority are coccus of pneumonia, golden yellow staphylococcus, green suppuration bacillus and Escherichia coli,etc.. Continue complication that serving lung abscess is mostly golden yellow staphylococcus' suppuration and poisonous blood disease.

[Clinical manifestation ]

Show as clinic mainly get up disease worried is sudden,is it cold to fear, hyperpyrexia, chest ache, cough, suppuration phlegm, accompany stench sometimes. Serious disease person can present delirium and go into a coma.

[Diagnose the main point ]

(1)Occur frequently ZhuangNian Yu, man exceed woman, have inducement of having illness coming on.

(2)It get up disease suddenly,it it can has that it is be cold to fear, hyperpyrexia, coughing, suppuration clinical manifestations such as phlegms bad smells,etc..

(3)The total number of leucocytes can be up to 20* 1000000000 more than of L, it is more than 90% to be neutral.

(4)X-ray examination can see lung have inflammation shade that density increase, cavity accompany the intersection of liquid and level take shape in that.

[Differential diagnosis ]

(1)Big leaf pneumonia

Cough up phlegm generally as ferruginous, have a large number of the intersection of suppuration and bad smell phlegm, X-ray the intersection of chest and block check consolidation change, have cavity form and liquid flat for lung.

(2)Bronchiectasis

It have it cough for a long time, suppuration phlegm and history of spitting blood repeatedly,bronchus be can make a definite diagnosis ofed lipiodol radiography.

(3)Bronchus lung cancer

It have fear obviously last symptom cold, hyperpyrexia,etc. and a large amount of suppuration phlegm,check X-ray examination and phlegm whether there aren't cancer cell and bronchus mirrors fibrous.

(4)Empty pulmonary tuberculosis

There is coughing for a long time, spitting blood and low-heat history, fearless and cold, hyperpyrexia,etc. is poisoned symptom, without a large amount of suppuration phlegm, X-ray examination can be pulmonary tuberculosis and cavity and take shape, but not so flat as liquid, can find the tubercle bacillus in the phlegm.

[Family's emergency processing ]

(1)Stay in bed, offer high heat, many vitamins and apt to digest the diet of food, encourage the patient to drink more boiled water or jardiniere soup,etc. in order to supplement the moisture content.

(2)Oral the intersection of home and always on the alert antibiotic such as the intersection of acetyl and the intersection of spiral and mould plain 0.2, 3 times a day, 2 of SMZ CO, 2 times a day; The wheat guides mould plain 0.2- 0.4 grams, 3 times a day, or sour 0.5 grams of Fluorine piperazine of ring third, 2 times a day.

(3)Employ heavy dose of effective antibiotic all over.

(4)The hyperpyrexia person can be adopted the physics temperature-dropping, a small amount of oral administration brings down a fever if necessary the medicine, so as not to collapse.

(5)At the time of a large amount of suppuration phlegm,if you can't should lie, good for by side and not last bed foot to last body posture to guide,3-4 times a day, each time 15-30 minute, appear behind suppuration phlegm, punish lime.






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