Which lung abscess are to behave and how to diagnose? 's symptom

Which lung abscess are to behave and how to diagnose? 's symptom
Which lung abscess are to behave and how to diagnose?
Clinical manifestation
Acute 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.
Chronic 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. There can be pokes to point (toe) .
Diagnosis
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 total number of leucocytes and neutral cells and increase notably, there are suppuration and X-ray sign of the liquid level in the wild large stretch of dense inflammation shade of lung, 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 to increase notably, 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.
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