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1.抗菌药物治疗 肺脓肿的感染细菌包括厌氧菌,一般都对青霉素敏感。故应首选青霉素G,宜早期大剂量使用。剂量根据病情,一般120万～240万单位/日,病情严重者可增加至1000万单位/日,静脉滴注,以期药物在坏死组织中达到高浓度。体温一般在有效治疗3～10天内下降至正常,脓痰性质改变为粘液脓性或粘液性,臭气消失,量亦减少。有条件时最好根据痰培养及药物敏感试验结果选药。脆弱类杆菌对青霉素耐药,可选用洁霉素0.5g,口服,一日3～4次,或0.6g,一日3次肌肉注射;病情严重者可用1.8g加于5％葡萄糖液500ml静脉滴注。或氯林可霉素0.15～0.8g,口服,一日4次。或甲硝哒唑0.4g,每日3次口服。抗菌治疗的
1. Antimicrobial drugs to treat lung abscess infections include anaerobic bacteria, are generally sensitive to penicillin. It should be the preferred penicillin G, appropriate early high-dose use. Dosage according to the disease, the general 1.2 million ~ 2.4 million units / day, the serious condition can be increased to 10 million units / day, intravenous infusion, in order to achieve high concentrations of drugs in necrotic tissue. Body temperature generally decreased to normal within 3 to 10 days of effective treatment, purulent sputum changes to mucinous or mucinous, odor disappears, the amount is also reduced. When conditions are best based on sputum culture and drug sensitivity test results of drug selection. Bacteroides fragilis penicillin resistance, the choice of lincomycin 0.5g, orally, 3 to 4 times a day, or 0.6g, 3 times a day intramuscular injection; serious condition available 1.8g added to 500ml of 5% glucose solution vein Drip. Or clindamycin 0.15 ~ 0.8g, orally, 4 times a day. Or metronidazole 0.4g, 3 times a day orally. Antibacterial treatment