The abscess surgery of lung treats _'s treatment

The abscess surgery of lung treats _'s treatment
The lung abscess one should adopt whole body and medicine treatment within three months person. Including antibiotic is employed all over and guided in the body posture, drip the medicine, spray and trachea mirror and suck the phlegm etc. in part. Fail to respond to any medical treatment and consider the surgical treatment through being above-mentioned.
Operation indication:
1.The disease one is in above three months, internal medicine department treats pathological change and has not seen and obviously absorbed, persons who break out continuously and repeatedly and have more symptoms.
2.Chronic lung abscess has lethal threat of big hemoptysis suddenly, or the persons who were not stopped yet through positive drug therapy of big hemoptysis, should perform the operation and rescue in time.
3.Chronic lung abscess such as the one difficult to infect because the bronchus is highly blocked to control, should excise the lung after planning appropriately.
4.Chronic lung abscess and other focuses coexist, or can't totally distinguish, for instance tuberculosis, lung cancer, lung mould are infected, also need the lung to excise and treat.
Prepare before the skill: Including improving patient's whole body situation, strengthen nutrition, disconnected blood transfusion, use antibiotic all over, arrange the phlegm in the body posture, part spray, drip medicines,etc. in the trachea. Pass, plan in 3- 6 weeks in hospital, phlegm quantity is reduced until every day under 50ml; The phlegm is thick by yellow suppuration to turn into glueing in vain thinly; The appetite, weight increase to some extent; Hemoglobin is close normally, body temperature pulse becomes more and more steady, can carry on the operation.
Operation range: The difficulty of operation of lung abscess is great, bleed more, pathological change often steps the leaf, operation range should not be too conservative, not making lung section or some lobes of the lung to excise as much as possible, but the majority is to exceed the lobe of the lung range, even need the whole lung to excise.
Operation complication: The common one has losing blood shock, bronchus Lou and empyema, sucking pneumonia, oesophageal Lou,etc..
Its prognosis, most chronic lung abscess is treated curative effect by surgery satisfiedly, symptom disappears, and resume normal work.
|