Sunday, September 9, 2012

Lung abscess is diagnosed to want _'s symptom

Lung abscess is diagnosed to want _'s symptom
Lung abscess is the lung infection caused by various pathogens, it is suppurative inflammation to be early, then necrosis forms abscess, can be divided into sucking 2 type lung abscess and blood source lung abscess according to the emergence of abscess, in clinic by hyperpyrexia, it cough, have phlegm bad more smell a large amount of suppuration as characteristic. Happen in the meridian of life more, the man exceeds women.
[Diagnose the main point ]
(1) Can have the intersection of infection and cooking stove of department who swallows mouth, operation, tired, the intersection of person who suffer from cold and medical history.
(2) Get up disease to be relatively worried, have, fear cold and generating heat (body temperature can be up to over 39 ) , weak, receive difference,etc. is poisoned symptom all over.
(3) Cough, cough up phlegm, the chest aches, after being ill 1 0 - 1 4 d Appear a large amount of suppuration phlegm,it is daily in quantity 3 0 0 - 5 0 0 Ml is quiet to divide 3 (upper strata foam, middle level mucus, lower floor organize for the intersection of suppuration and piece and necrosis) put, . Can be with the phlegm of blood. The amoeba abscess phlegm liquid of lung is chocolate, there can be special stinks while infecting to have anaerobe. Expectorate the liquid of suppuration, the drainage of focus is improved, symptom takes a favorable turn (body temperature drops, toxic symptom is relieved) promptly .
(4) The intersection of blood and source the intersection of lung and abscess, many to have, have illness coming on the intersection of fear and the intersection of cold, hyperpyrexia,etc. and whole body suppuration and malicious blood disease symptom cooking stove cause originally first. After from several days to 2 weeks, present cough, cough up phlegm, there is little phlegm amount.
(5) Lung abscess is small and the physical sign of lung is not obvious when being deep in the position. If range relatively large, close to wall of the chest, the intersection of percussion and voiced sound, can hear getting wet the intersection of and transliteration while being some. After the cavity takes shape, can hear bronchus respiration and wet 's sound. The course of disease is up to 3 Above chronic the intersection of lung and abscess can have pokes mean months ' Toe) .
(6) Auxiliary examination:
1 blood routine: Leucocyte total number and neutral grains of cell increase, companion core move to left and poison particle.
2 phlegm train and anaerobe train have pathogens grow.
3 X line is checked:
( 1 ) Sucking lung abscess can see in early days large stretch of densely and soak the shadow, the edge is unclear. It is flat that abscess can see suppuration and liquid while forming one, there is inflammation nature infiltration that is surrounded around; Absorbing for convalescence can be seen the suppuration and shrink and disappear.
( 2 ) Blood source lung abscess, the focus is distributed on one side or both sides, present and break up in the inflammatory piece of sex limitation, or the edge neater spherical focus, it is flat that there is small suppuration or liquid in the centre.
|

0 comments:

Post a Comment