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自1955年1月至1962年4月,共收治肺脓肿325例,就其中172例临床资料比较完整者进行分析报告如下。年龄分布以22~54岁最多,计146例(79.0%)。男143例,女29例,男女之比为5:1.本院男女床位之比约4:1。发病因素有:手术后1例,(?)齿21例,齿齦炎11例,齿槽炎6例,齿槽溢脓9例,口腔卫生不良23例,上呼吸道感染12例,慢性支气管炎19例,肺炎6例,脓毒血症2例,癫癎发作1例,原因不明或记载不全者61例.以上分析说明,由于近代外科麻醉技术的进步,手术后肺脓肿巳极为少见。口腔卫生不良、齿病、齿齦病和呼吸道感染为肺脓肿最重要的起病诱因,宜引为重视.
From January 1955 to April 1962, a total of 325 cases of lung abscess were treated, of which 172 cases were more complete clinical data are analyzed as follows. The age distribution of 22 to 54 years old the most, accounting for 146 cases (79.0%). There were 143 males and 29 females with a ratio of 5 to 1. The ratio of men to women in the hospital was about 4: 1. There were 1 case after operation, 21 cases of (?) Teeth, 11 cases of gingivitis, 6 cases of gingivitis, 9 cases of alveolar overflow, 23 cases of poor oral hygiene, upper respiratory tract infection in 12 cases, chronic bronchitis 19 cases, pneumonia in 6 cases, sepsis in 2 cases, epileptic seizure in 1 case, unknown cause or documented incomplete 61. The above analysis shows that due to advances in modern surgical anesthesia, postoperative lung abscess has been extremely rare. Poor oral hygiene, dental disease, gum disease and respiratory tract infection are the most important inducing factors for pulmonary abscess.