Tuesday, September 4, 2012

What _'s general knowledge is lung abscess

What _'s general knowledge is lung abscess
Lung abscess (lung abscess) It is the lung caused by many kinds of causes of disease that organizes suppurative pathological change. It is suppurative inflammation to be early, then necrosis forms abscess.
Lung abscess symptom
Lung of sucking etc. abscess get up disease to be worried and sudden, it is cold and generating heat for patient to fear, the body temperature can be up to 39- 40 . Accompany cough, cough the phlegm of mucus or mucus suppuration phlegm. Inflammation can cause the chest to ache while involving some pleura. The pathological change range is relatively great, it is out of breath that can appear. In addition, and pay difference with depression, weak, stomach. About 7- 10 days later, cough and aggravate, abscess is broken routedly in the bronchus, expectorate the discredited phlegm of a large amount of suppuration, can reach 300- 500ml every day, the body temperature drops soon. Because pathogens are mostly the anaerobe, so the phlegm brought the stench flavor. Bring blood or medium-sized quantity and spit blood in the phlegm sometimes.
Patient, abscess of lung, have chronic to cough, cough the intersection of suppuration and phlegm, spit blood, continue, send, infect with abnormality generating heat etc. repeatedly, often present anaemia, becomes thin chronically and consumes the morbid state.
Through not presenting lung symptom from several days to two weeks, such as coughing, expectoration,etc.. Usually there is little phlegm amount, seldom spit blood.
Physical sign: Relate to size and position of lung abscess. Pathological change is less or lies in the dirty deep department of lung, there can not be unusual physical sign. Pathological change is relatively big, there is a large number of inflammation around abscess, the percussion presents voiced sound or flatness, the auscultation respiration is lowered, can hear the wet rale sometimes. Source abscess physical sign of lung of the blood is mostly negative. The abscess patient of chronic lung suffers from the side thoracic cage and slightly collapses, percussion voiced sound, the respiration is lowered. Can have poke, point ' Toe) .
Cause of disease of lung abscess and having illness coming on in the mechanism
The intersection of infection and bacterium, lung of abscess, often deposit the fungus for general upper respiratory tract, a buccal one. Often for mix, infect, aerobic anaerobic the intersection of leather and getting blue positive negative coccus and bacillus. Among them the most common pathogen is staphylococcus, streptococcus, pneumonia coccus, shuttleless loom -shaped fungus and spirillum,etc.. The anaerobe, to the importance of the suppurative infection of lung, because of training the improvement of technology, paid attention to in recent years.
1974 reports such as Gorbach and Bartlett,etc., the anaerobe of sucking pneumonia and lung abscess was infected and accounted for 85%- 90%; Bartlett,etc. reports 45 cases of acute lung abscess isolate the materials of 114 of anaerobe, the infeted of anaerobe account for 58%, aerobic fungus mix the infeted and account for 42% with anaerobe. More important anaerobe has peptone streptococcus, peptone coccus, nuclear grains of shuttleless loom -shaped bacillus, one kind of bacillus belonging to, tiles that hold coccus, spirillum etc.. Besides above-mentioned anaerobe, have aerobic or and concurrently sex anaerobe store in. The foreign report has a liking for due to bacillus pneumonia of lung legion in recent years, nearly 25% form the abscess.
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