Sunday, September 9, 2012

's symptom of abscess diagnosis of the lung

's symptom of abscess diagnosis of the lung
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 the intersection of leucocyte and total number and neutral grains of apparent to increase cell, lung wild large stretch of dense inflammation have the intersection of suppuration and and the intersection of liquid and X-ray sign of level in the shade, 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.
(1) The blood around is like blood leucocyte counting and neutral cells apparently to increase, total number can up to 20,000- 3 Wan mm3, neutral grains of above 80%- 90% cell. The leucocyte of the abscess patient of chronic lung has not obviously changed, but there can be slight anaemia.
(2) Phlegm and pathogen of blood check phlegm slide leather getting blue to dye check, phlegm liquid liquid train and anaerobe train until the intersection of bacterium and medicine sensitive to test, contribute to confirming the pathogen and choosing the effective antibiotic treatment. The blood source lung abscess patient's blood can find pathogens to train.
X-ray examination:
X-ray, lung of abscess display according to type and the intersection of disease and issue, drainage of bronchus unobstructed having pleura complication to be different to some extent.
At sucking suppurative inflammatory stage in early days of lung abscess, its typical X-ray sign is the large stretch of dense fuzzy inflammation infiltration shade, the edge is unclear, distributed in one or several lung section, is similar to bacterial pneumonia. After abscess takes shape, appear in round bright district and liquid level in the large stretch of dense inflammation shade. Dissipating one, suppuration and a of inflammation around are being absorbed gradually, the suppuration shrinks to disappear, remain a little the intersection of fiber and pieces of shade Suo finally. Chronic lung abscess and suppuration are increased thick in one of walls, the abnormality of inboard wall, inflammation around is slightly dissipated, but incomplete, companion's fibrous tissue shows hyperplasia, and there is lobe of the lung of different degrees that shrinks, the pleura is increased thick. Mediastinal to suffer from side, shift, good for the lung, compensating pulmonary emphysema take place while being other.
Blood source lung abscess has the one that occured frequently scattered in neater spherical focus of the platelet inflammatory shade or edge on a lung or two lung edges portions, among them can be seen in suppuration and liquid level. Inflammation can present the cooking stove fiber or stingy bag of the office after absorbing.
The person who erupts empyema simultaneously, suffer from the side chest and present large stretch of dense shade; If the companion sends pneumothorax and can see the level of liquid.
The location X-ray examination of side, can define abscess position and range size in the lung is dirty, contribute to making guiding or surgical treatment of body posture.
The intersection of chest and CT scan, take the form of one more round the intersection of heavy wall and the intersection of suppuration and, suppuration can have the intersection of liquid and level appear in the, one of inboard walls of suppuration is often shown as abnormality, there is a fuzzy inflammation shadow around.
The fibrous bronchus mirror is checked
Help to find the cause of disease, if is bronchus tumour, can pick and examine alive. Foreign matter can be plucked out such as seeing, make drainage resume unobstructedly. Can sample bacteria to train and attract the intersection of suppuration and liquid and pathological change department to pour into antibiotic through the fibrous bronchus mirror antipollution brush also, promote bronchus guiding and healing of suppuration.
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