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什么是肺脓肿 郭兮恒 首都医科大学附属北京朝阳医院 肺组织由于化脓菌感染引起组织炎症坏死,继而形成肺脓肿,如与支气管相通,则出现脓腔。临床上以高热、咳嗽、咳大量臭脓痰为其特征。根据发病原因有经气管感染型、血源性感染型和多发脓肿及肺癌等堵塞所致的感染型3种。肺脓肿也可以根据相关的病原进行归类,如葡萄球菌性、厌氧菌性或曲霉菌性肺脓肿。,突然咳出大量脓痰,1天可多达数百毫升,因有厌氧菌感染,痰有臭味,静置后分为3层,由上而下为泡沫、黏液及脓渣。脓排出后,全身症状好转,体温下降,如能及时应用有效抗生素,则病变可在数周内渐好转,体温趋于正常,痰量减少,一般情况恢复正常。 What is lung abscess The lung tissue is inflamed and necrotic due to the infection of pyogenic bacteria, And then there is a lung abscess, If it is connected with the bronchus, A purulent cavity appears. Clinically, it is characterized by high fever, cough and a large amount of stinking and purulent phlegm. According to the cause of the disease, there are three types of infection, which are caused by tracheal infection, blood infection, multiple abscesses and lung cancer. Lung abscesses can also be classified according to the relevant pathogens, Such as staphylococcal, anaerobic or Aspergillus lung abscess. Suddenly coughing up a lot of purulent sputum Up to hundreds of ml / day Due to anaerobic infection Phlegm stinks After static, it is divided into three layers From top to bottom is foam, mucus and slag. After purulent discharge The general symptoms are good Hypothermia If effective antibiotics can be applied in time Then the disease can turn better in a few weeks Body temperature tends to be normal Less sputum In general, recovery is normal