Therapeutic _'s treatment of lung abscess

Therapeutic _'s treatment of lung abscess
Treat the lung abscess one within three months person, should adopt whole body and medicine treatment. 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.
First, treatment of internal medicine department
A one
Main the intersection of application and the intersection of antibiotic and treatment, until phlegm train and quick test of medicine choose the medicine. Intravenous injection or employ, get involved the intersection of method and the intersection of suppuration and a of part of radiology give medicine. Result work well very much the intersection of medicine and quantity take enough old, course of treatment in 1- 2 month, must last until clinical symptom disappear totally, see suppuration and inflammation totally disappear in X-ray examination of chest, only a few fibers stay to ask for a shade. Such as taking a favorable turn slowly, should consider being able to bear the question of the medicine fungus, the repeated phlegm is trained and medicine is tested quickly, change the appropriate medicine.
Guide in 2, body posture
Discharge a of suppuration liquid of suppuration in time, can obviously lighten and is poisoned symptom. According to the amount of suppuration, arrange suppuration for several times in location of every celestial body, 15- 30min, adopts the appropriate body posture according to the position of pathological change each time, can also carry on finely and prop up the source of checking clear suppuration of the mirror. Body posture guide can suck treatment, combine, go on with atomization, large hemoptysis person should not body posture guided temporarily, because have danger of resulting in spitting blood again.
3, and support the treatment to the ill
Employ bronchus solve the intersection of convulsion and pharmaceutical, eliminate the phlegm pharmaceutical,etc., increase nutrition, blood transfusion if necessary, especially before having obvious anaemia and preparing the operation.
Most acute patients can fully recover, consider the surgery treatment after the persons who do not heal transfer to chronically 2- 3 months later after treatment of internal medicine department.
Second, surgical treatment
The surgical treatment of lung abscess is to walk the lung is excised. The lung of lung abscess needs planning meticulously before excising the skill, could lower complication rate and mortality. Employ effective antibiotic to control lung inflammation in front of skill, phlegm quantity can be reduced to about 50ml (many patients can not do in fact) ,Turn from suppuration into rare white phlegm. Besides acute disease operation before the skill, had better cure to poison symptom disappeared, body temperature, pulse are steady. To anaemia, the intersection of plasma protein and low the intersection of break and blood transfusion, give high protein, rich the intersection of vitamin and diet. Arrange the phlegm in the body posture. Prepare enough blood sources, generally need 2000- 3000ml.
1, operation meet the choice of the card
2- 3 month such as drug therapy still many spitting blood, infecting while being acute while being repeated phlegm. The X-ray examination of chest is seen there is an irreversible pathological change, > the intersection of heavy wall and cavity, bulk inflammation, fiber take, extensive bronchiectasis, because the intersection of bronchus and getting narrow the intersection of lung and piece and tension cavity,etc. of 2cm. Erupt empyema, bronchus pleura Lou, oesophageal Lou simultaneously, or there is repetition pneumothorax. Can't except lung cancer. Big hemoptysis or poison symptom to be unable to control, get old and weak correctly or dangerous loud patient, until medicine control, might not want, take the risk of surgery at present.
2nd, 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.
3, 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.
4, operation complication
The common one has losing blood shock, bronchus Lou and empyema, sucking pneumonia, oesophageal Lou,etc..
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