Prognosis and treating _'s treatment of lung abscess
Totally healing to need enough antibiotic to treat in time of lung abscess. Most patients can resume, do not need the operation.
Phlegm liquid and blood sample are collected in order to make and trains and after medicine is quick, can begin the antibiotic treatment. First-selected Klim mould and plain, begin dosage to be quiet to drip for 600mg, 3 times a day, then 300mg take orally, 4 times a day. Can also select penicillin G for use quietly to drip, 2 million 10 millionu/d, offers penicillin oral 500~750mg subsequently, 4 times a day. After the patient returns heat and objective symptom is improved, antibiotic changes into that takes orally. Some experts select penicillin and the first nitre thiazole 500mg for use and take orally, 4 times a day, jointly uses medicine. If by the intersection of leather and getting blue negative bacillus, staphylococcus or other aerobic fungus cause, the choice of antibiotic can be tested quickly according to medicine. The treatment should last until pneumonia is dissipated and disappeared with the cavity, there is a small steady residual focus alone, the wall thin bag or lung is wild and clear. The focus dissipates the treatment that usually takes from several weeks to several months, most patients still need oral antibiotic after leaving hospital.
Body posture it guides to be can effective householder method, too can cause the intersection of suppuration and liquid shed medical education network. Collect, it causes pathological change to spread or acute and block to put in order and enter other bronchuses. If patient's weakness or paralysis, need tracheostomy and attract. Once in a while, the bronchus mirror helps to guide. Because the focus is often effective to antibiotic, so seldom need surgery to guide. The patient that the large cavity medicine fails to respond to any medical treatment can make skin to leave and guide, patient needs to guide empyema too.
The lung is excised and used in abscess and able to bear medicines to the medicine, when especially there is bronchus cancer. It is the most frequently used that the lobe of the lung is excised, section is excised and is used in the little focus. The lung is excised and used in multiple abscess or difficult curing lung gangrene. The mortality after the lung is excised is 5%~10%, it is smaller to excise the range, mortality is lower.
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