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Primary Nurse Super Book 03 Surgical Nursing 19 Empyema 02 Chronic Empyema: Disease Course Time, Clinical Symptoms, Signs and Characteristics.
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Answer] :(1) Acute empyema is seen too late, not in time**, and gradually enters the chronic phase. Acute empyema is not properly managed, such as the drainage tube is too thin, or it is pulled out too early, and the drainage position is inappropriately inserted too deeply, until the drainage is not smooth.
Foreign bodies remain in the ridge of the thoracic cavity. Combined bronchial fistula or esophageal fistula is not treated promptly; or the pleural cavity adjacent to the slow-starting foci, such as subdiaphragmatic abscess, liver abscess, rib bone myelitis and other repeated afferent infections, resulting in the abscess cavity can not be closed. There are special pathogenic bacteria, such as tuberculosis bacteria, radiobacteria and other chronic inflammation caused by the thickening of the fibrous layer, incomplete lung distention, so that the abscess cavity does not heal for a long time.
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First of all, it is necessary to go through surgery**, and you also need to control your diet at ordinary times, and you must pay attention to your work and rest, you must strengthen exercise, and then you also need to insist on taking drugs; It is a chronic respiratory disorder that can be caused by trauma, perforated digestive tract, or bacterial infection.
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Infection is controlled with effective antibiotics, appropriate activity to improve cardiopulmonary function, and small amounts of blood transfusions if necessary. Chronic empyema requires surgery to remove the foreign body, eliminate the abscess cavity, and preserve and restore lung function as much as possible. Before surgery, appropriate nutrition should be supplemented, low protein and anemia should be corrected, a small amount of blood transfusion should be given multiple times, the body resistance should be enhanced, and effective antibiotics should be selected to control infection.
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We must protect our body to avoid getting sick, and we need to pay attention to the environment of daily life and pay attention to maintenance, which refers to the disease caused by a germ that invades the chest cavity.
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It is caused by the pathogenic bacteria in the lung infection foci, directly invading the membrane or lymphoid tissue, and on the basis of lung abscess and bronchiectasis, it is also more common to cause empyema.
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The cause of empyema is mainly caused by the pathogenic bacteria in the infection foci in the lungs, which directly invade the membrane or lymphoid tissue. Typically, it can include pneumonia, lung abscess, tuberculosis cavitation, lung or esophageal trauma, mediastinal infection, subdiaphragmatic abscess, chest trauma, bacteremia, or sepsis-causing bacteria, which enter through the blood circulation and cause iatrogenic infection. Empyema due to the development of pneumonia, such empyema patients, can account for the majority.
Inflammation of the lungs, especially pneumonia close to the visceral pleura, is also very common, with the presence of lung abscess and bronchiectasis, causing empyema. Staphylococcus aureus in pediatric empyema can play a major role. Due to streptococcus, or pneumococcal pneumonia complicated by empyema, these conditions are currently relatively rare in China.
Co-infection with gram-negative bacilli can also be seen in cases of empyema.
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It may be due to malnutrition, heart disease, or inflammation in the body.
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**There are several ways to treat Achilles tendonitis: 1. The more common method is to let the Achilles tendon get enough rest, and the pain will improve; 2. If the Achilles tendon contractions for a long time cause inflammation or strain, you can take oral anti-inflammatory and analgesic drugs, and you can also use plasters to reduce inflammation and analgesia in the Achilles tendon. 3. If there is long-term chronic pain affecting walking, physical therapy, acupuncture and small needle knife release can be carried out locally in the Achilles tendon area; 4. If the above-mentioned ** is still not well relieved, a small dose of hormones outside the Achilles tendon can be given**; 5. When wearing shoes, pay attention to the place where the Achilles tendon is touched after the shoes and do not rub often, choose comfortable shoes with appropriate size and tightness, and pay attention to keeping the feet warm; 6. In addition, appropriate functional exercises can also be carried out, such as moderate stretching. The Achilles tendon arch can be stretched in the corner of the wall to maintain sufficient tension of the Achilles tendon, so as to speed up its local blood circulation and promote inflammation absorption; 7. Local physiotherapy or external application of traditional Chinese medicine can be used to treat the resolution of local inflammation.
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