简介:摘要目的对照分析对急性肺脓肿患者行以X线与CT诊断的临床价值。方法从我院择取64例急性肺脓肿患者,所选患者均行以X线检查、CT检查,对照分析两种检查方式的诊断结果。结果在X线检查中,50例患者确诊,其中22例存在肺叶斑片状高密度影,28例患者存在云团状高密度影,14例漏诊,可见斑片状高密度影或小片状高密度影,病灶周围相对模糊,同时密度呈现出不均匀状态,无空洞或液气平面,初诊为肺部炎症或感染,经进一步追踪检查或CT检查,结果显示为肺脓肿。在CT检查中,62例患者确诊,其中2例为肺门淋巴结肿大,6例为双肺多发性球形影,4例双肺边缘模糊,且呈现出粟粒样小结节影,34例呈现出空洞影(8例为气液平面),14例囊状含气影,2例气液胸,2例因临床症状不明显且无明显CT征象而发生漏诊。经对照分析,从诊断准确率上来看,X线检查为78.13%,CT检查为96.88%,CT高于X线,P<0.05;从漏诊率上来看,X线检查为21.88%,CT检查为3.13%,CT低于X线,P<0.05。结论对急性肺脓肿患者行以CT诊断准确率高于X线,临床价值更为显著,可以作为诊断急性肺脓肿的首先方式。
简介: 【摘要】 目的 研究糖尿病合并肺脓肿患者的临床护理方法及效果。方法 60例糖尿病合并肺脓肿患者作为研究对象, 按照护理方法的不同分为对照组及观察组, 各 30例。对照组实施常规护理措施, 观察组在常规护理措施的基础上增加强化护理措施。比较两组患者的护理满意度。结果 观察组患者护理满意度为 96.7%, 对照组患者护理满意度为 80.0%, 观察组患者护理满意度高于对照组, 差异具有统计学意义 ( P<0.05)。结论 对于糖尿病合并肺脓肿患者实施强化护理措施, 有助于保证临床治疗效果, 提升临床护理服务质量, 值得在临床上进行推广使用。 【关键词】 糖尿病 ;肺脓肿 ;常规护理 ;强化护理 [abstract] Objective To study the clinical nursing methods and effects of diabetes mellitus complicated with pulmonary abscess. Methods 60 patients with diabetes mellitus complicated with pulmonary abscess were divided into control group and observation group according to different nursing methods, 30 cases in each group. The control group was given routine nursing measures, while the observation group was given intensive nursing measures on the basis of routine nursing measures. The nursing satisfaction of the two groups was compared. Results The nursing satisfaction of patients in the observation group was 96.7%, and that of patients in the control group was 80.0%. The nursing satisfaction of patients in the observation group was higher than that of the control group, with statistical significance (P < 0.05). Conclusion Strengthening nursing measures for diabetic patients with pulmonary abscess is helpful to ensure the clinical therapeutic effect and improve the quality of clinical nursing service, which is worthy of clinical application.
简介:【摘要】目的: 对照分析对急性肺脓肿患者行以 X 线与 CT 诊断的临床价值。 方法: 从我院择取 64 例急性肺脓肿患者,所选患者均行以 X 线检查、 CT 检查,对照分析两种检查方式的诊断结果。 结果: 在 X 线检查中, 50 例患者确诊,其中 22 例存在肺叶斑片状高密度影, 28 例患者存在云团状高密度影, 14 例漏诊,可见斑片状高密度影或小片状高密度影,病灶周围相对模糊,同时密度呈现出不均匀状态,无空洞或液气平面,初诊为肺部炎症或感染,经进一步追踪检查或 CT 检查,结果显示为肺脓肿。在 CT 检查中, 62 例患者确诊,其中 2 例为肺门淋巴结肿大, 6 例为双肺多发性球形影, 4 例双肺边缘模糊,且呈现出粟粒样小结节影, 34 例呈现出空洞影( 8 例为气液平面), 14 例囊状含气影, 2 例气液胸, 2 例因临床症状不明显且无明显 CT 征象而发生漏诊。 经对照分析,从诊断准确率上来看, X 线检查为 78.13% , CT 检查为 96.88% , CT 高于 X 线, P<0.05 ;从漏诊率上来看, X 线检查为 21.88% , CT 检查为 3.13% , CT 低于 X 线, P<0.05 。 结论: 对急性肺脓肿患者行以 CT 诊断准确率高于 X 线,临床价值更为显著,可以作为诊断急性肺脓肿的首先方式。
简介: 摘要:目的:研究分析经验性使用莫西沙星对急性肺脓肿患者治疗的临床疗效以及相关的安全性。方法: 此次研究的对象是选择 100例急性肺脓肿患者,将其临床资料进行回顾性分析,并随机分为观察组和对照组,各 50例。对照组患者使用常规治疗方法即头孢哌酮舒巴坦联合替硝唑进行治疗,观察组患者使用静脉滴注莫西沙星的方法进行治疗。两组患者经过治疗完成后比较两组患者的治疗效果以及并发症发生率。结果:两组患者在经过治疗后均有所好转,但观察组患者的治疗效果明显相比对照组患者并不明显,观察组患者的治疗总有效率 94%,对照组患者的治疗总有效率 92%,差异不明显( P>0.05),无统计学意义。同时观察组患者的并发症发生率 4%明显优于对照组患者的并发症发生率 12%,差异为显著性差异( P<0.05),有统计学意义。结论:在对急性肺脓肿患者进行治疗的过程中,经验性的使用莫西沙星对患者进行治疗,治疗效果与头孢哌酮舒巴坦联合替硝唑类似,但莫西沙星的治疗方法能够减少患者的并发症发生率,安全性更高,在临床上值得推广应用。 关键词:经验性使用莫西沙星;急性肺脓肿;临床疗效;安全性 Abstract: Objective: To study and analyze the clinical efficacy and safety of moxifloxacin in the treatment of acute lung abscess. Methods: 100 patients with acute lung abscess were selected and their clinical data were analyzed retrospectively. They were randomly divided into observation group and control group with 50 cases in each group. The patients in the control group were treated with cefoperazone sulbactam and Tinidazole, while the patients in the observation group were treated with moxifloxacin. Two groups of patients after the completion of treatment compared with the two groups of patients' treatment effect and the incidence of complications. Results: the two groups of patients improved after treatment, but the treatment effect of the observation group was significantly less than that of the control group, the total effective rate of the observation group was 94%, the total effective rate of the control group was 92%, the difference was not significant (P > 0.05), no statistical significance. At the same time, the complication rate of 4% in the observation group was significantly higher than that of 12% in the control group, the difference was statistically significant (P < 0.05). Conclusion: in the treatment of acute lung abscess, moxifloxacin is used empirically. The effect of moxifloxacin is similar to that of cefoperazone sulbactam combined with tinidazole, but moxifloxacin can reduce the incidence of complications and has higher safety. It is worth popularizing and applying in clinic.
简介:摘要目的分析并探讨抗生素治疗急性肺脓肿的临床效果,并对其安全性和对生活质量的影响进行评价。方法72例急性肺脓肿患者,采用随机数字表法分为对照组和试验组,各36例。对照组采用清热解毒法进行治疗,试验组采用抗生素进行治疗。8周后,对两组的临床效果和安全性进行分析,并通过问卷调查的形式,让试验组患者对治疗前后的生活质量进行评分。结果试验组患者出现恶心、食欲缺乏、头晕乏力的不良反应发生率依次为5.6%、5.6%、2.8%,对照组依次为11.1%、13.9%、8.3%,试验组不良反应发生情况显著低于对照组,差异有统计学意义(P<0.05);治疗前试验组患者对呼吸状况、饮食状况、工作状态的满意程度依次为58.3%、69.4%、61.1%,治疗后满意程度依次为88.9%、94.4%、91.7%,比较差异有统计学意义(P<0.05)。试验组治疗总有效率为97.2%,对照组为77.8%,试验组总有效率显著高于对照组,差异具有统计学意义(P<0.05)。结论采用抗生素治疗急性肺脓肿疗效明显优于清热解毒法,且不良反应的发生率更低,还可以有效提高患者的生活质量,值得临床推广应用。