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近十年来,我们对55例肺脓肿采用综合方法进行治疗,收到明显效果,现报告如下。 1 临床资料 1.1 一般情况:1982～1993年,我病房共收治肺脓肿患者55例。年龄13～73岁,男性42人,女性12人。其中年龄13～20岁者6人;21～40岁者18人;41～50岁者10人;50岁以上者21人。 1.2 临床特点及诊断依据:55例患者均有起病急、高热及吐大量脓性痰的病史和临床表现。X线片显示肺脓肿的特点。病变累及右肺者33例。其中累及右上叶者8例,右中叶者1例,右下叶尖后段24例。病变於左肺者19例:其中5例在左上叶,2例在左下叶前基底段,12例在下叶后基底段。血象中白细胞数和中性粒细胞百分比均增高。痰培养细菌均阳性。
In the past decade, 55 patients with lung abscess were treated with an integrated approach and received significant results. The report is as follows. 1 Clinical data 1.1 General situation: From 1982 to 1993, 55 cases of lung abscess were treated in our ward. Ages 13 to 73 years old, 42 males and 12 females. Of which 6 were aged 13 to 20 years old; 21 to 40 years of age 18; 41 to 50 years of age 10; 21 years of age over 50 years. 1.2 Clinical features and diagnosis based on: 55 patients were acute onset, fever and vomiting a large number of purulent sputum history and clinical manifestations. X-ray film shows the characteristics of lung abscess. 33 cases of lesions involving the right lung. Including the right upper lobe in 8 cases, right middle lobe in 1 case, lower right apical 24 cases. 19 cases of lesions in the left lung: 5 cases in the left upper lobe, 2 cases in the left lower anterior basal segment, 12 cases in the lower lobe basal segment. White blood cell count and neutrophil percentage were higher. Sputum culture bacteria were positive.