The elderly's lung abscess and symptom and _'s symptom of physical sign

The elderly's lung abscess and symptom and _'s symptom of physical sign
1.Symptom
(1)A disease: Factor that the acute lung abscess patient can have the danger that the department that swallows mouth infects the cooking stove and causes sucking by mistake, or there is suffering from cold and tired history. Get up disease to be very worried and sudden, patient fear cold, hyperpyrexia, the intersection of lung and inner cavity take shape after the 8- 14 day, patient cough lead stink phlegm by a large number of suppuration, the body temperature obviously drops. Can also hide get up disease in a few patient, and the low-heat can sustain several weeks, even a longer time. Continue, send lung abscess in pneumonia, can 2- 3 weeks appear after disease takes place, pneumonia should be cured at this moment, but take place the hyperpyrexia and then, suppuration phlegm quantity increases, often have a weak symptom.
(2)Cough, a large amount of suppuration phlegm: Cough the mucus or mucus suppuration phlegm in initial stage, after taking shape through the inner cavity of lung of 8- 14 day, 40%- 70% of the cases expectorate the discredited phlegm of a large amount of suppuration, the phlegm of stink is pointed out and infected as the anaerobe.
(3)Spit blood: Rare, can cause the loud hemoptysis of mortality while being even.
(4)The chest aches: It is caused that inflammatory pathological change involves the pleura, pain to become more serious during breath. If abscess is broken into the thorax, can form empyema (empyema) , suppuration pneumothorax (pyopneumothorax) ,Can also form by the thing that the cellulose is wrapped up parcel empyema (encapsulated empyema) ,The patient breathes sports limitedly, shortness of breath becomes more serious.
(5)Other: Weak becoming thin, losing the appetite, the intersection of blood and source abscess many to have, have illness coming on symptom that cause originally first lung. Anaemia,etc. consumes symptom commonly at chronic lung abscess (chronic lung abscess) And empyema patient.
2.Physical sign Have less abscesses, position relatively dark to often there is no positive physical sign; If abscess relatively large, can have the intersection of lung and the intersection of consolidation and physical sign while being some, abscess near the wall of the chest can appear the empty urn sound for instance; Empyema patient suffer from side, appear thorax accumulate physical sign of liquid; Poke mean, can appear within having illness coming on several week, chronic the intersection of lung and abscess person can often see, brief on the possibility with bronchus lung cancer too sometimes. Blood source lung abscess is more littly because of pathological change, disperse, often have no positive physical sign of lung.
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