The elderly's lung abscess is diagnosed to check _'s treatment

The elderly's lung abscess is diagnosed to check _'s treatment
Diagnose:Suck the history and suffer from oral cavity disease, according to symptom such as subnormal temperature or getting chronic disease, cough the discredited phlegm of a large amount of suppuration, physical sign, the chest X-ray reveals lung abscess changes, it is seldom difficult to diagnose.
Check in the laboratory:
1.The blood is alike The total number of blood leucocytes rises, neutral grains of nucleus move to left, can be poisoned the particle. Hemoglobin drops and sees more the abscess patient of chronic lung.
2.Bacteriology is checked
(1)Slide: The slide leather of phlegm is blue to dye the mirror to examine, such as seeing the neutral cells of volume, and there are a large number of bacteria inside and outside the afterbirth, and the phlegm is trained negatively, brief on the anaerobe and is infected with.
(2)Train: Phlegm train use a most wide one, understand, infect to there is not creating method pathogen, but apt to be polluted by the upper respiratory tract bacterium. As to the anaerobe, because it often influences the positive rate trained to contact the air. Adopt the trachea to attract and gather the sample or puncture and gather the liquid of suppuration of thorax by the liquid of chest through the protective brush of fibrous bronchus mirror, carry on anaerobe and aerobic fungus and train more meaningfully immediately. Because the positive rate that pathogens train is not very high, some new technologies such as gaseous phase chromatograms measure bacterium's supersession product to determine the bacterium, DNA probe hybridize technology etc. and study the fast qualification used in the bacterium. The blood trains the diagnosis used for blood source lung abscess.
Other auxiliary examination:X The line is checked: Flat sheet of general X-ray chest can obtain the clear image of lung abscess, the X-ray image characteristic (Table 1) of lung abscess .
Small suppuration occuring frequently that CT appears when can further find necrosis pneumonia while checking.
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