{"nowTime30":1711716562765,"lyBarModerator":null,"metaSearch":{"description":" 脓胸就是病菌侵入胸膜腔,产生脓性渗出液积聚于胸膜腔内的化脓性感染。脓胸按病理发展过程可分为急性和慢性。按致病菌则可分为化脓性、结核性和特异病原性脓胸。脓胸患者的预防比治疗更重要,脓胸患者预防病情恶化应注意以下几点。\n 1、控制感染\n 根据病原菌及药敏试验选用有效足量的抗菌素,以静脉给药为好,观","keywords":"脓胸在生活中应该如何预防保健?_洞医","title":"脓胸在生活中应该如何预防保健?_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1686","isDel":0,"createAt":1483439339685,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院胸外科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:北京协和医院胸外科在哪院_北京协和胸外科诊室_北京协和胸外科医生、北京协和医院胸外科病友的治疗经验等相关信息,让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和医院胸外科在哪院_北京协和胸外科在哪_北京协和胸外科诊室_洞医\",\"title\":\"北京协和医院胸外科在哪院_北京协和胸外科在哪_北京协和胸外科诊室_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1637","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"气胸预防保健方法","content":"
天气寒冷会刺激呼吸道炎症加重,多个肺泡破裂形成肺大泡,肺大泡再破裂就容易把肺冲出一个洞,导致气体漏入胸腔,形成气胸。长期患严重呼吸道疾病的老年患者在冬天应特别注意。
1、急性期应绝对卧床休息。
2、保持情绪稳定,要将自己的内心感受告知给医生护士。
3、根据您的病情,医生决定是否进行胸腔穿刺、排气或闭式引流,这是治疗自发性气胸的一项有效的治疗措施,要了解其目的,消除紧张情绪,配合治疗。
4、在治疗过程中,如出现呼吸困难加重情形,请立即通知医生或护士。
5、饮食上进食蔬菜,水果等易消化食物,避免便秘的发生。
6、进行胸腔闭式引流时,不要自行挤压,扭曲引流管,同时在床上活动时,避免牵拉引流管,要防止扭曲移位或脱落。
7、在闭式引流过程中,如必须离开病床进行检查或允许范围内的室内活动时,请与护士联系,在护士的协助及处置后再行离床活动。
8、在气胸痊愈的一个月内,不要剧烈运动,如打球,跑步。
9、避免诱发气胸的因素,如抬提重物,剧烈咳嗽,屏气等,防止便秘,同时戒烟。
复发性气胸患者宜作胸膜固定术。创伤性气胸治疗一般可按自发性气胸的治疗原则进行,但应强调及时诊断、积极抢救、防止并发症发生,预防复发。
","barId":"1686","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"4157","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"脓胸患者的护理方式有哪些","content":"
脓胸疾病出现以后,患者的体温一般都会升高,让患者的一些生命体征发生变化,因此这种疾病需要很的护理方式,这样才能够让疾病得到更快的康复,也可以避免病情恶化,接下来让专家介绍一下,脓胸患者的护理方式有哪些。
\n(一) 保持引流系统密闭
\n使用前应仔细检查引流装置的密闭性;水封瓶长玻璃管没入水中3-4CM,并始终保持直立;胸壁引流管口周围用油纱布包盖严密;更换引流瓶时,应双重钳夹引流管,以防空气进入胸膜腔。
\n(二) 保持引流通畅
\n观察水柱波动情况(正常上下波动4-6CM),定时挤压引流管,防止其受压、折曲、阻塞;若有阻塞,应报告医生,并协助处理。
\n(三) 妥善固定
\n将胸腔引流管用别针固定在床单上,保持足够的长度,以免翻身时牵拉导管引起疼痛或使导管脱出。
\n(四) 观察引流液的量及性状
\n若引流量多,且色鲜红,提示有活动性出血,应报告医生。
\n(五) 每日更换引流瓶一次,引流瓶内需放置一定量的无菌生理盐水。
\n脓胸患者的治疗还需要我们不断地总结临床知识,因为只有我们总结了脓胸的治疗我们才会深入的了解患者,不断地给予脓胸患者一定的护理和治疗,再者还需要及时的观察我们的治疗和护理的效果,及时的给予疾病的评估和诊断。
\n通过以上的介绍现在大家已经清楚的了解了脓胸患者的护理方式有哪些了吧。脓胸疾病出现以后,经常会引发肺炎,脓胸疾病就是肺炎的一些前期表现症状,因此及时的治好脓胸疾病对于肺炎的预防, 可以起到非常有效的效果,专家在文章中对于脓胸疾病的治疗方式,给出了详细的介绍,希望能对患者的病情起到,很好的帮助。
\n","barId":"1686","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1599","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"特别想睡觉发烧是不是肺癌晚期","content":"
女,65岁。症状是:咳嗽,少痰,无力,走路就喘,特别想睡觉,只能仰卧睡觉,侧身就咳嗽。
膝盖酸,有时候发烧38.2
是不是肺癌晚期
","barId":"1686","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"2972","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"传导阻滞 心脏漏拍","content":"女,26岁。心脏传导阻滞 现在偶发性心脏停跳漏拍 喘不过气 胸闷
想知道是什么原因 要不要去检查 会可能是什么病
","barId":"1686","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1253","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"结核性脓胸有哪些症状","content":"结核菌感染胸腔的初期,发生急性炎变、充血、渗出,形成散在结核结节,胸腔积液为浆液性,含白细胞及纤维蛋白,经过段较长时间逐渐变为慢性结核性脓胸,纤维板厚而坚硬,并常有钙化。纤维板收缩使肋间隙变窄,肋骨变形呈截面三角形,肋间肌肉萎缩,脊柱凸向健侧。脓胸可以是局限性的或全脓胸。有时脓胸向肋间破溃,甚至侵犯肋骨,形成寒性脓肿或破出皮肤形成皮肤窦道,长期流脓不止。
\n结核性脓胸的临床表现很不一致,多数起病缓慢,以乏力、低热为主要症状,其次不盗汗、胸闷、干咳等,脓胸早期胸膜的吸收力较强,中毒症状较明显。如果积脓较多也可以出现气急、呼吸困难等症状。当发生支气管胸膜瘘时,会有刺激性咳嗽,同时咳脓痰与体位有关。健侧卧位时咳嗽及脓痰增加。如果因为支气管胸膜瘘而引起结核播散,中毒症状会非常明显,病情危重。合并感染后,高热、白细胞增多,症状同急性脓胸相似。
\n","barId":"1686","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"3965","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"急性脓胸是怎么引起的","content":"
急性脓胸疾病往往发病比较急,会导致患者措手不及,不知道该如何是好,这个疾病对于患者的危害也非常的大。相信肯定有很多人想了解急性脓胸是怎么引起的?因为只有了解了这些才能更好的去做对症治疗,那么下面我们就来看一下专家的具体介绍吧。
\n急性脓胸是怎么引起的
\n急性脓胸由化脓性细菌引起,常见的细菌是肺炎球菌、金黄色葡萄球菌和粪链球菌。也可见于克雷白杆菌、铜绿假单胞菌和溶血性流感杆菌等。如发生支气管胸膜瘘时,大多为混合性细菌感染。约40%~94%胸腔积液培养阳性者有厌氧菌感染。主要为拟杆菌和厌氧性链球菌和梭状芽孢杆菌等。
\n胸膜腔感染的主要途径有:
\n①肺部感染:系肺表面的小脓肿破裂,或化脓性病变直接侵及胸膜造成的。肺部感染病灶如肺炎直接侵犯胸膜或病灶破溃病菌直接进入胸腔,可产生急性脓胸。常见的致病菌有肺炎双球菌、链菌、金黄色葡萄球菌。小儿以金黄色葡萄球菌性脓胸为多见。其他常见的致病菌还有革兰阴性杆菌如大肠杆菌、变形杆菌、产气杆菌及沙门菌属等。结核杆菌和真菌比较少见。细菌可直接穿破胸膜进入胸膜腔。肺脓肿破溃往往产生脓气胸,甚至产生张力性脓气胸,可形成支气管胸膜瘘,而成为混合性感染。若有厌氧菌感染则形成腐败性脓胸,脓液含有坏死组织,并有恶臭气味。
\n②医源性脓胸:开胸手术、肺切除术后、胸腔穿刺、胸腔镜检查、经纤维支气管镜肺活检造成的支气管胸膜瘘、食管狭窄的扩张治疗和纤维食管镜检查造成的食管穿孔、肝脓肿或腹腔脓肿穿刺等造成胸膜腔感染引起脓胸。肺大泡破裂引起的自发性气胸多数并无感染,但在治疗过程中,如反复胸腔穿刺或长期闭式引流,则可能发生继发感染形成脓胸食管、气管、支气管和肺手术均为污染手术,并非无菌手术,如术后抗生素使用不当,仍可能发生感染,而形成脓胸,如果术后发生食管吻合口瘘或支气管残端瘘,则更容易发生脓胸。
\n③邻近部位的化脓性感染:纵隔炎、膈下脓肿、肝脓肿、化脓性心包炎、肾周脓肿、淋巴结脓肿、肋骨或椎骨骨髓炎等可直接侵蚀、穿破、或通过淋巴引流途径造成脓胸。
\n④外伤性脓胸:胸部外伤时致病菌,甚至一些异物如衣物碎片、骨片、弹头、刀尖等被带入胸腔,并残留在胸腔内,则很容易形成脓胸。如果外伤造成胸壁开放性伤口,或者损伤食管、支气管、肺等,使胸腔与外界相通,也会形成脓胸。系见于穿透性外伤后血肿感染所致,也见于胸壁开放伤、胸部闭合伤的血胸继发感染所致。
\n⑤血源性感染:婴幼儿或体弱者患败血症或脓毒血症时,致病菌经血循环达胸膜腔,产生脓胸,为全身脓毒血症的一部分。病情较重,预后不佳。
\n⑥其他:肺癌、纵隔畸胎瘤、支气管囊肿继发感染及破裂等也可造成脓胸。自发性食管破裂、纵隔畸胎瘤继发感染破入胸腔也是形成脓胸的原因。
\n关于脓胸疾病引起的原因就为大家介绍到这里,相信大家只要能够认真地去阅读上面的文章内容,一定要能够了解到急性脓胸产生的原因。这些原因能够帮助人们更好地做好对症治疗,以免陷入治疗的误区加大治疗的难度。
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脓胸就是病菌侵入胸膜腔,产生脓性渗出液积聚于胸膜腔内的化脓性感染。脓胸按病理发展过程可分为急性和慢性。按致病菌则可分为化脓性、结核性和特异病原性脓胸。脓胸患者的预防比治疗更重要,脓胸患者预防病情恶化应注意以下几点。
\n1、控制感染
\n根据病原菌及药敏试验选用有效足量的抗菌素,以静脉给药为好,观察疗效并及时调整药物和剂量。
\n2、排除脓液
\n排出脓液是脓胸治疗的关键。一岁以下的婴幼儿可用穿刺及胸腔内注入抗菌素治疗,多可获得满意效果。年龄再大的患者,应尽早施行胸腔闭式引流,排尽脓液,促使肺早日膨胀,必须注意选用质地、口径合适的引流管,以保证引流通畅有效。
\n胸膜腔受化脓性病原体感染,产生脓性渗出液积聚,称为脓胸。按病变范围分为全脓胸和局限性脓胸。脓胸的治疗原则包括控制感染、排除脓液、全身支持治疗三个方面。脓胸患者有哪些饮食原则,下面专家介绍脓胸患者的饮食原则。
\n1、宜多食各种新鲜水果、蔬菜,进低脂肪、低胆固醇食品,如:香菇、木耳、芹菜、豆芽、海带、鱼肉、兔肉、鸡肉、鲜豆类等。脓胸患者常可食银耳、豆腐、蜂蜜、梨、鱼腥草、大蒜等,会给病体带来一定的好处,以增强体质。
\n2、宜多食干豆类及其制品。
\n3、鼓励患者进食饮水注意补充电解质,宜多喝些汤类如冰糖蒸银耳、橘叶汁、马齿觅甜膏、双冬百部炖豆腐等。
\n4、病情危重体质虚弱的患者应给予静脉补液,必要时输入静脉营养、血浆、白蛋白或少量多次输入新鲜血,以纠正贫血并增强抵抗力,促进早日恢复。
\n5、宜选用植物油,不用动物油,少吃辣椒、生蒜等刺激性食物或辛辣食品。
\n6、急、慢性脓胸病人均伴营养消耗,呈负氮平衡状态,应静脉给予多次、少量输注血液或血蛋白,同时饮食中应富含高热量、高维生素及高蛋白质,以增强机体抵抗力,促进康复。
\n7、脓胸患者平时要注意预防感染,禁烟酒,同时在饮食上要加强营养增强身体免疫力,睡眠要充足,合理休息,多去户外散心,以保持愉快的心情。
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