The thorax accumulates the treatment _'s treatment of the liquid at the time of empyema
It is part of whole body of chest that the thorax accumulates the liquid, the cause of disease is particularly important in treatment. Leak liquid can be absorbed behind correcting the cause of disease often. The common cause of disease of the exudative pleurisy is tuberculosis, malignant tumour and pneumonia.
Empyema refers to a of infective inflammation of pleura caused by various pathogenic microbe, muddy with the appearance at the same time, the thorax with one kind of characteristics of suppuration oozes out the liquid. The bacterium is suppuration and thoracic most common pathogen. Most bacterial empyema relates to failing to control effectively in bacterial pleurisy. A few empyema can be due to tuberculosis fungus or fungi, actinomycetes, slave's card fungus,etc.. The infective thorax is accumulated in the liquid the most common pathogen is the blue negative bacillus of leather at present, secondly it is golden yellow staphylococcus and pneumonia coccus. Comparatively common with false form afterbirth funguses such as the bacillus of green suppuration,etc. and Escherichia coli in the blue negative bacillus of leather. The anaerobe has also already been verified extensively as suppuration and thoracic common pathogen. Pneumonia complicated empyema is often infected for the single fungus. If erupt empyema simultaneously for lung abscess or bronchiectasis, infect in order to mix the fungus more. In the patient who uses immune inhibitor, it is very common that the fungi and blue negative bacillus of leather are infected.
Acute empyema is often shown as hyperpyrexia, consume the bloated pain of the state, chest,etc.. Treat the principle to control and is infected with, guide the thorax and accumulate the liquid and impel the lung to reply ones, resume the lung function. Employ the effective antibacterial medicine as soon as possible to the thoracic pathogens of suppuration, give medicine in whole body and thorax. Drainage is the most basic therapeutic method of empyema, release suppuration or closing type to guide repeatedly. Can develop the thorax repeatedly with 2% carbonic acid hydrogen sodium or physiological saline, then pour into right amount of antibiotic and chain kinase, make the liquid of suppuration rare and easy to guide. A few empyema can adopt the boiled water among the rib to seal the closing type of the bottle to guide. Should not wash the thorax to the person who has bronchus pleura Lou, so as not to cause bacteria to sow scatteredly.
Chronic empyema have pleura increase thick and thoracic cage collapse, not chronic to consume and poke mean ' Toe) Wait, should consider the surgical pleura peels skill,etc. to treat. In addition, it is also quite important to generally support to treat, should offer high-energy, high protein and food containing vitamin. Correct the intersection of water and electrolytic disorder and acid-base balance of keeping, if necessary can give small quantity numerous blood transfusion.
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