Barkov V A
Ter Arkh. 1986;58(4):123-8.
Peculiarities in the development and course of purulent complications in patients with acute pneumonia require a differentiated approach to therapy. The control of clinicoroentgenological stages of the abscess formation of pneumonia taking account of the peculiarities of a purulent process in each patient permits one to resort to differentiated therapy and to plan therapeutic measures until a complete cure of a patient. Effective treatment of a patient with lung suppuration is based on the suppression of purulent infection by massive antibiotics therapy combined with measures aimed at enhancing the defence activity of the body. Of paramount importance at the final stage of therapy is stimulation of reparative processes in the zone of destruction with physical therapeutic factors. Physiotherapy employed in combination with therapeutic measures raises the recurrences and change into a chronic state. Patients after pulmonary abscess formation should be followed up for 1.5-2 yrs.
急性肺炎患者化脓性并发症的发展及病程特点要求采用差异化的治疗方法。考虑到每位患者化脓过程的特点，对肺炎脓肿形成的临床-放射学阶段进行控制，有助于采取差异化治疗并规划治疗措施，直至患者完全治愈。对肺脓肿患者进行有效治疗的基础是通过大量抗生素治疗抑制化脓性感染，并结合旨在增强机体防御活性的措施。在治疗的最后阶段，利用物理治疗因素刺激破坏区域的修复过程至关重要。物理治疗与治疗措施相结合可降低复发率并防止病情转变为慢性状态。肺脓肿形成后的患者应随访1.5至2年。
