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Subserous myoma

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[Intro]

Subserosal fibroids are the fibroids grow most prominent in the uterine serosa, accounting for about 20 to 30% of fibroids, the most important symptoms of menstruation increased menstruation, menstrual cycles. Cause increased menstrual mainly submucosal and intramural fibroids, subserous myoma has little effect on menstruation.


Introduction

uterine subserous myoma refers to the growth of fibroids most prominent accounting for fibroids in the uterine serosa, 20 30%. A uterine fibroids, according to the site of the fibroids where the uterine muscle wall can be divided into intramural, subserosal, submucosal fibroids within the broad ligament. The main symptoms are menstrual increased menstruation, menstrual cycles. Cause increased menstrual mainly submucosal and intramural fibroids, subserous myoma has little effect on menstruation. Therefore, subserosal fibroids can grow very large and Other symptoms, patients are often due to touch to the abdominal mass without fever.
fibroid growths, and of different sizes, but also varying degrees of compression symptoms, such as the oppression of the bladder muscle, urinary frequency, urgency; oppression of the rectum, causing difficulty urinating. Subserosal leiomyoma torsion, can cause severe abdominal pain, in which case, often require surgery to remove fibroids fibroids sub-bureaucratic size increases, the endometrial glands secrete increased leucorrhea associated with infection may appear purulent vaginal discharge. According to the survey, approximately 25% to 35% of the fibroids may occur infertility.
Normal pregnancy fibroids will increase as the month of pregnancy and rapid increases may cause fetal oppression can lead to miscarriage or premature labor. the treatment of uterine fibroids is not necessary non-take confrontational surgery. preservation of the uterus of non-surgical interventional treatment approaches can be taken, the same cure fibroids. the ultrasound-guided fine needle aspiration, fibroids stop growing, a dramatic drop in the final fibrosis. achieve the purpose of clinical cure. surgery, safe and painless, no damage to the uterus of normal tissue, does not affect subsequent pregnancies, no side effects, no hospitalization, do not worry about the fibroids are other changes, the vast majority of fibroids is benign as long as they control its growth, the human body and without much harm. ultrasound interventional treatment is a more reasonable humane treatment.
fibroids <2cm, without any clinical symptoms can be observed for 3-6 months follow-up time, as long as the long fast enough, you do not do any processing, but the baby must review the muscle tumor to see if it grew up, because it is hormone-dependent tumors during pregnancy due to the increase in fibroids of estrogen may grow rapidly, and uterine fibroids on pregnancy periods, childbirth and the puerperal a series of adverse effects.
· in early pregnancy, the fertilized egg in the womb Zhuchuang and growth and development to the detriment of the presence of fibroids, the incidence of abortion, non-the fibroids pregnant women 2 to 3 times, and the abortion is often not complete and more bleeding.
The big myometrium fibroids or submucous myoma, can prevent the fetus in the intrauterine activity caused by malposition, causing transverse increase in the incidence of breech presentation, therefore, cesarean section produced The rate of increase.
delivery process huge fibroids affect the normal contraction of the uterus, so that the prolonged incarceration of fibroids in the pelvic (such as cervical fibroids, uterine segment fibroids, etc.) can block the birth canal. cause dystocia.
· fibroids can also affect postpartum uterine contraction, causing postpartum bleeding or uterine recovery bad.
· If fibroids cause intrauterine poor drainage or fibroids surface of the ulcer, and prone to cause infection and may also lead to late uterine bleeding.
According to the site of the fibroids where the uterine muscle wall can be divided into intramural, subserosal, submucosal fibroids within the broad ligament.

type

uterine fibroids according to the site of its growth can be divided into three types:
1. intramural fibroids grow within the uterine muscle wall, the most common.
2. subserosal fibroids, fibroids protruding from the surface of the uterus, the serosal layer coverage.
3. submucosal fibroids, fibroids grow to the uterine cavity, covering the surface layer of the endometrium.

literature to explain

1, such as growth in the epidermis of the uterus are called subserous myoma. Growth in the uterine muscle C who said the uterine muscle wall between fibroids hair growth in the inner wall of the uterine cavity - and said submucosal fibroids;
2, there is a fibroid to the uterine serosal surface growth, called subserosal fibroids, irregular bleeding symptoms. uterine fibroids is low, according to historical records about (). 5%, the trend of shrinking after the menopause;
3, if the tumor is outside the growth close to the surface, called subserosal fibroids. Long in the middle, known as intramural fibroids. To the growth of the uterine cavity, called submucosal fibroids. fibroids can also be pedunculated, but more sessile fibroids.

clinical manifestations

uterine bleeding

The main symptoms of uterine fibroids, half or more of patients. Cyclical bleeding (excessive menstrual flow menstruation or menstrual cycles) is, accounting for about 2/3; rather than cyclical (continuous or irregular) bleeding accounts for 1/3. The bleeding is mainly caused due to intramural fibroids and submucosal fibroids. Cyclical bleeding occurred in intramural fibroids, submucosal fibroids often shows irregular bleeding. subserosal fibroids rarely cause bleeding. individual cases of menstrual flow has decreased.
fibroids due to the amount of bleeding reasons: ① fibroids often due to the high estrogen associated with endometrial proliferation and polyps, the amount caused by menstruation; due to ② The fibroid uterine volume increase large increase in intimal area, excessive bleeding and bleeding for too long. Especially submucosal fibroids when the mucous membrane bleeding area of ​​up to 225cm2 (normal about 15cm2); ③ submucosal fibroids, the mucosal surface is often ulceration, necrosis, leading to chronic endometritis caused by dripping constantly bleeding; ④ intramural myoma affect the uterus to contract and twist clamp blood vessels, or submucosal fibroids endarterectomy itself can not shrink, bleeding and the duration of; ⑤ The larger fibroids and pelvic congestion, so that blood flow strong amount ; ⑥ menopause, irregular menstruation.
excessive menstrual flow or menstruation can be stand alone or merge appear. And shorten the menstrual cycle (too frequent) at the same time, you can in a short time, lost a lot of blood due to severe anemia. submucous myoma prolapsed vagina was non-cyclical bleeding, the amount can be many. Polypoid fibroids offenders are usually caused by persistent bleeding.

abdominal mass

lower abdominal mass is often the main complaint of patients with uterine fibroids may be as high as 69.6%. May sometimes be the only symptom of fibroids. Where to intra-abdominal growth does not affect the endometrium and intramural fibroids, especially in the bottom of the uterus or pedunculated subserosal fibroids tend to have this case. pelvic abdominal mass found mostly in the uterine fibroids grow significantly, often in the the fasting bladder filling. Push the top of the uterus and fibroids, so patients are easy to touch too, more than 4 to 5 months pregnant uterus, bladder not filling can also be touched. uterine fibroids are generally located in the ventral midline, a small number occupies the lower abdomen side, hard or uneven sense. Is greater and more degeneration, is relatively soft and smooth. Most of the growth rate of unhappiness. The liberation of the initial data, animate up to 22 years before treatment, mainly due to the oppression of working women in the old society by the unconditional medical care. A very small number of growth may be faster or accompanied by pain, suspected malignant transformation.

pain

performance about 40% for abdominal pain, backache, 25% and 45% of dysmenorrhea; also performance heavy feeling of lower abdominal or back pain, the degree of multi-very serious. The pain is tumor compression of pelvic blood vessels and cause bleeding, or nerve, or pedicled submucosal fibroids can stimulate uterine contractions, outward discharge from the uterine cavity due to the cervical canal to change large and pain; or myoma necrosis infection caused by pelvic inflammation, adhesion, traction caused. If the individual due to red degeneration of uterine fibroids, abdominal pain compared with drama and with a fever. Subserosal uterine leiomyoma torsion or uterine axial torsion, acute abdominal pain. Large subserosal fibroid growth to the broad ligament, not only the nerve, blood vessels causing pain, but also the oppression of the ureter caused by the ureter or hydronephrosis Erzhi low back pain. Where dysmenorrhea dramatic and progressive increase often concurrent uterine fibroids due to adenomyosis or endometriosis.

oppression symptoms

occurs in the cervix fibroids or uterine segment fibroids increases, full pelvic, oppression surrounding organs caused. Oppression bladder, frequent urination or difficulty urinating, and urinary retention; oppression ureter can cause hydronephrosis, pyelitis. The growth of fibroids in the uterine wall may compress the rectum, causing constipation and even bowel movement difficult. pelvic vein compression, there may be edema. Compression symptoms in the premenstrual period is significant, which was therefore congestion and swelling of uterine fibroids. subserosal fibroids can also be symptoms of bladder or rectum oppression of incarceration in the uterus rectum nest.
fibroids cause oppression of symptoms of approximately 30%, which accounted for 20% of frequent urination, difficulty in urination about 10%, urine retention 3.3%, urinary retention by 5%, 5% dysuria, constipation 20%, lower limb swelling of 6%.

leucorrhea

leucorrhea accounted for 41.9%. Uterine cavity increases, the increase in endometrial glands, accompanied by pelvic congestion or inflammation make leucorrhea increase; submucosal fibroids ulceration, infection, hemorrhage, necrosis, then produce a bloody vaginal discharge or pus smelly vaginal discharge, the amount of can be a lot.

infertility and miscarriage

30% of uterine fibroids in patients with infertility. infertility treatment reasons, check the existence of uterine fibroids. uterine fibroids cause infertility are many reasons, see uterine fibroids with pregnancy special section. spontaneous abortion rate is higher than the normal population, the ratio of 4:1.

anemia

long-term bleeding without timely treatment of anemia. Before the liberation, the majority of working women because of living forced, although the long-lasting uterine bleeding strive governance caused by anemia. The early liberation of a material related to uterine fibroids: hemoglobin 5 to 10 grams accounted for 45.25%. Hemoglobin less than 5 grams accounted for 12.4%, mostly for submucosal fibroids. Severe anemia (less than 5 grams) can lead to anemia, heart disease, myocardial degeneration.

hypertension

Some of uterine fibroids in patients with hypertension, some statistics fibroids with hypertension (except for a history of hypertension) after the removal of fibroids, the majority returned to normal, may be related to dissolution of the ureter oppression related.

signs

fibroids less than 3 months pregnant uterus who generally difficult to transabdominal touch. Can touch are generally in the lower abdomen, Central, hard, and more uneven. In patients with thin abdominal wall, the outline of the tumor can be clearly work out, and even can see its shape. The gynecological bimanual generally to more clearly work out uterine fibroids profile. fibroids habitat uterine anterior or posterior wall of the anterior or posterior wall of the more prominent; multiple fibroids can be touched on in the womb more smooth, hard spherical block material; from the side wall of the uterus to the side of the prominent lump may be wide ligament fibroids; cervix significantly increased palpable on normal uterus and said as cervical fibroids; uterus is remarkably consistent increase, and hard, may be hidden in the uterine cavity or neck mucosal muscle tumors, such as cervical dilation, stretching the fingers often touch the smooth spherical tumor; some already exposed on the cervix, or even broke into the vagina at a glance; but some secondary infection, necrosis, or larger, touch less than the cervix, with cervical malignancy, uterine inversion mixed mistaken.
location of the fibroid growths may also affect the cervix of the uterus. Such as the posterior uterine fibroids, the palace of the body and cervix into the front; plus posterior uterine fibroid uterus rectal fossa development, or even the top of the uterus pressed against the pubic symphysis, the lower abdomen to reach the uterine contour. the cervix also followed on the move, the posterior vaginal wall forward bulging, vaginal palpation can not touch the cervix; such as broad ligament myoma uterus to the contralateral side.
leiomyoma transgender people, in addition to palpation feeling lumps of traits, size change, with the palace and the cervix associated still with the foregoing.

subserosal fibroids how formed?

subserosal fibroids are the fibroids grow most of the prominent uterine serosa, the main symptom is menstrual increased, menstruation, menstrual cycles. Cause the period increase is mainly submucosal and intramural fibroids, subserosal fibroids on menstrual subserosal fibroids can grow very large, no other symptoms, patients are often touch the mass of the abdomen and treatment.
different location and size of the growth of fibroids, there may be symptoms of varying degrees of oppression, the oppression of bladder muscle of urinary frequency, urgency; oppression of the rectum caused by dysuria. leiomyoma torsion can cause severe abdominal pain, often surgery to remove fibroids, endometrial glands increased secretion appear the leucorrhea such as associated with infection, there may be a purulent vaginal discharge. infertility may occur.
the growth of fibroids to the uterine serosa, surface only covered by the uterine serosa. Only a pedicle connected to the uterine muscle wall, due to insufficient blood supply variability, necrosis. pedicle torsion fracture, fibroids are off to the abdominal or pelvic cavity, to form free of fibroids.


[Cause]

boil is caused by what the?

infection and skin dirty, scratches, high ambient temperature or lower the body resistance to infection-related. Boils can occur in any follicles of the skin area, often to the head, face, neck, armpits and buttocks so often by the friction of the parts is more common.

(a) causes

boil the pathogenic bacteria Staphylococcus aureus based, Streptococcus, Staphylococcus epidermidis, are also caused by the disease. Local and systemic skin's resistance to infection is reduced mainly due to Benbingfasheng, so infants, malnutrition, diabetes is a good risk of this disease. Dirty skin, skin abrasions, high ambient temperatures often lead to local infection such as the direct cause.

(B) the pathogenesis

bacteria invade the hair follicle and their sebaceous glands and sweat glands, in hair follicles and surrounding tissue multiply rapidly, producing toxins, causing local tissue degeneration, necrosis, and the center of the formation of boils, the performance of local congestion, exudation, induration. Aggregation of neutrophils to the damaged body tissue cells and bacteria to be destroyed, and he gradually necrosis and dissolution, the formation of abscesses in the dermis. Due to Staphylococcus aureus, coagulase contain toxins, so the formation of pus bolt, protruding outward. Swelling and induration clinically visible in the center of a yellow-white pus plug. This is Staphylococcus aureus infected lesion characteristics. Ulceration after discharge pus, abscess gradually by the new fibrous tissue repair and healing.

[Sign]

boil the early symptoms?

1. redness, swelling, heat, pain summary, cylindrical cone.

2. inflammation to the development of nodules increases, the pain intensified.

3. A few days later nodules central necrosis, abscess formation, dissolution, soft induration, pain relief, the central pus head most of the self-rupture, discharge pus, inflammation subsided recovery.

4. furuncle usually no obvious symptoms, but if the blood flow occurred in the rich parts of the body resistance weakened, it can cause discomfort, chills, fever, headache and loss of appetite and other symptoms of toxemia.

5. Facial Boil such as intracranial infection, facial swelling and severe, may be associated with chills, fever, headache, sinus infections and other embolization.

boil because of location, severity of different clinical manifestations may vary.

local swelling and pain sclerosis: no systemic symptoms of early disease and more, only infection redness, swelling, pain, range of not more than 2cm in diameter, small nodules gradually enlarged, as papules bulge. A few days later lesions extended about 3 ~ 5cm, nodules gradually softened, the center was white, a slight touch of the fluctuations; then ulceration pus, and the emergence of yellow-white pus plug. Pus bolt off, pus shed, the inflammation subsides and healing. There is no pus boil bolt (the so-called headless boil), since the collapse a bit late, need to find ways to promote its pus discharge (Figure 2 ).

fever, swollen lymph nodes: furuncle serious infection, the local area of ​​the lymph nodes, tenderness, and may be associated with body heat, and sometimes lymph node abscess formation.

nose, upper lip and around (called "dangerous triangle") of the surface boil, add or pushed in touch, the bacteria via the angular vein, ophthalmic vein into the brain, causing intracranial suppurative infection. At this point may have fever, headache, vomiting, consciousness disorders.

early follicular redness, swelling, heat, pain, induration. After the white purulent center, there is volatility. May be associated with systemic fever, elevated white blood cell count and differential count.

[Aftertreat]

boil ate?

therapeutic side:

1. composed of: a single head of garlic, honey, 9 grams. Usage: pound evenly wrap the affected area.

2. consists of: single head of garlic amount. Usage: Peel and slice into 2 to 3 mm, with the first affected area with warm salt water when dry wash, and then sticking garlic, and gently massage the 10 to 20 minutes, 2 or 3 times a day, 2 3 There is no more. Indications: Boil, folliculitis. Note: In severe cases, such as local irritation may reduce the massage time, a serious condition should be added to serve anti-inflammatory drugs.

3 . composed of: tea 2 grams of dried honeysuckle 1 gram. Usage: boiling water 6 minutes after each meal drink in a cup. Indications: Boil, exogenous heat.

4. composed of: fresh Malan first 100 grams, the amount of liquor. Usage: Add a little salt before blindly smashed wine Ban Cheng paste, coating the surface of the skin furuncle carbuncle. Indications: furuncle, carbuncle.

5. Composition: rosin 10 grams of white wine. Usage: rosin research to fine tune white wine into a paste, resisting heat, wrap the affected area after dissolution, for the degree of responsibility to cover all of the above and then covered with wax paper and tape securely, to enhance efficacy, can drop a few drops of wine, rosin to keep moist. Indications: furuncle, carbuncle, folliculitis.

6. smashed topical papaya leaves, swollen boil carbuncle treatment drug.

7. fresh peach leaf, plug smashed the lesion, treatment of nasal furuncle.

8. rhizome or fresh banana leaves smashed Jiao Zhi, coating the surface of the skin, cure carbuncles, boils, swelling.

9. almond powder with sesame oil paint, heat treatment boil.

10. Purple cane coal deposit of the skin, powder, paint the affected area or sesame oil dressing, boil carbuncle treatment, stomatitis , eczema.

11. raw taro add a little salt, smashed drunk wrap the affected area twice a day replacement, bones can cure pain, swelling of unknown drugs, pediatric head hot boil, finger boil.

12. raw loofah (or leaf), smashed juice, coated surface of the skin, soak sore treatment days, yellow water sores, heat boils, urticaria .

13. mung bean sugar kelp: seaweed 60 grams, shredded, green beans, 150 grams, with the soup, add brown sugar to taste food. There Sedative, diuretic, soft-kin, Phlegm, scattered gall tumor effect. For hypertension, beriberi edema, neck lymphadenopathy, simple goiter, prickly heat boils hot summer day in children poison, phlegm cough embolism.

14. yi melon soup: melon (not peeled) 500-600 g, yi 50-100 grams of soup. Can be flavored with sugar or salt, on behalf of the tea used, heat, hot weather, diuretic, dehumidification effect. Drugs for Rush boils, eczema athlete's foot, yellow urine deficient.

15. Daozhi raw turnip, vinegar and rub the affected area transfer, heat treatment boil.

16. green beans 30 grams of powder, each 10 grams, water delivery service, boils cure breast swelling and pain.

17. failure to adopt the open rose 3 - 5 朵 wash, add water, two pregnant, suffering from a cup of low heat, ice sugar 30 grams, made of rose soup, until the temperature dose, to cure blood stasis amenorrhea, boils Chung pain, traumatic swelling and pain.

18. boils and pus ulceration of the skin sore or eczema, rinse with water, tea, allow the wound clean and promote healing.

19. a white sweet potato, peeled and chopped, smashed, can also be added with the same amount of fresh Houttuynia smashed, spreads in the affected area, apply to the local heating that line replace (about two three hours long), and even apply a few days more, boils cure mastitis.

20. soybeans amount, turn on the water immersed soft, add a little alum were smashed drunk, external surface of the skin, swollen boils boil treatment.

21. adzuki beans with water until soft, mash with water or vinegar, or honey or egg amount, into a paste, external surface of the skin, cure mumps, hot boil.

22. Kapok 30 - 50 grams of sugar amount, fry a bowl with water and drink two bowls and a half. Favorable moisture, heat effect. For enteritis, urethritis, eczema, summer boil embolism.

23. fresh buckwheat leaves 60 grams, Shuijianbi day one; or fried yellow noodles with the vinegar into a paste, applied to the lesion, sooner or later be replaced. Governance sore, swollen boils, erysipelas, mastitis, and swelling of unknown drugs.

appropriate patients to eat what?

1, edible grapes plus zinc salt or zinc, other foods such as soy, sunflower seeds, wheat bran, yeast, brown sugar and so on.

2, Yi Shi taste light, the cold food, such as Malan head, purslane, melon, red and white radish, bitter gourd, sponge gourd, mung bean, red bean, lily, chrysanthemum brain and celery.

patients unfit to eat what?

not eat ginger, pepper and other spicy foods , as well as mustard, yellow croaker, shrimp, crab, chicken head, goose, Zhu Tourou so fat objects.

should avoid fried foods and meat, edible oil cans.

data only refer to the specific, please ask a doctor.

[Prevent]

how to prevent boils?

boil is born of acute suppurative superficial skin disorders, widely available health, children, young people more common. "Surgical management case" that: "boil persons, birth processes, floating red rootless feet, swollen found in the skin, only the width of an inch, there is less pain, a few days later Microsoft, thin peel, the beginning of the blue water, the latter from breaking the pus out of. "The disease occurs in the summer and autumn, protruding roots shallow, swelling potential limitations, lift the red pain, mostly in the range of about 3cm, easily swollen, easy to collapse, Yi Lian. Early can be divided into a head, without the first two kinds of general light and easy to cure the symptoms, so the saying goes, "no boil the size of a pus like." ;;; ;;;;; ;;;;; ;;;;; But also due to the formation of improper treatment or care "mole cricket boils," or repeated seizures, lack of disunion. Multiple furunculosis ", is difficult to cure.

[Treat]

boil precautions before treatment?

attention to the skin clean, timely replacement of underwear and avoid skin injuries, especially in the summer, to bathe, wash your hair, hair, changing clothes, nails, children in particular should pay attention. With honeysuckle and wild chrysanthemum Jiantang tea. Boil the surrounding skin should be kept clean and coated with 70% alcohol to prevent infection spread to nearby hair follicles.

boil Chinese medicine treatment methods

total boil caused by the toxic heat treatment to detoxify the basic principles.

A Differential Treatment:

1. Heat toxin Accumulation card: lesion processes, such as cone, burning pain, or fever, thirst, tongue pink, yellow fur, rapid pulse. Detoxification. Flavors disinfection decoction.

2. Shushi heat Melancholia: seen in summer and autumn, the affected area, such as agglomeration cone, single or multiple, burning pain, chest tightness, anorexia, deficient urination, red tongue, greasy or yellowish, veins slippery. Qingshu dampness, detoxification swelling. Qingshu Decoction.

3. Is virtual evil love cards: distributed in the body, local color dark red, pus scarce, one after another, delayed healing, with fever, irritability, thirst, or fatigue, limb soft, red tongue thin yellow, rapid pulse. Righting detoxification. Liu Wei Di Huang Decoction.

Second, external treatment and other treatment:

1. The beginning of detoxification should be swelling, moderate to henbane, water reconcile, wrap the affected area. Or wishful golden powder for external application. Or green cream Waicha.

2. Pus, the clip bolt out the pus.

3. Unhealed after the collapse, sores can be a little ninety-one Dan to drugs or drug line twist into sores, topical berberine gauze.

4. Oral Meihuadianshe Dan, Niuhuangjiedu, Fang Feng Tong Sheng Wan, Liushen other medicine.

5. Unilateral prescription: Silver Flower 30g, licorice 10g, decoction, on behalf of the tea.

Western boil treatment

1. Local treatment, such as heat, physical therapy, 10% ichthyol coated ointment. Facial Boil should rest in bed should not squeeze or prick Boil, so as not to spread to the brain.

2. Swelling or have a large range of obvious symptoms, should give systemic antibiotics (third-generation cephalosporin antibiotics).

3. The formation of abscess, incision and drainage should be timely but should be avoided Boil the face cut.

(a) treatment

1. The principles of early treatment to promote inflammation subsided, after early drain purulent pus; timely elimination of systemic adverse reactions.

2. Local treatment

(1) Physical therapy: early, ultraviolet micro-irradiation, can promote local anti-inflammatory, to prevent proliferation. Swelling stage, the selection of FM, infrared and other heat, promote Boil liquid. 2 to 3 times / d, 20 ~ 30min / times.

(2) Drug eraser: 0.5% povidone-iodine scrub, the drug not only for skin irritation, and the role of long-lasting, no pigmentation. Can also be used erythromycin, tetracycline ointment.

(3) topical cream: local swelling and a small pustules, use ichthyol, wishful golden powder, Gyokuro powder and so on.

(4) incision and drainage: Boil into pus, nodules soften, a sense of volatility, you can make a small incision drainage or fire needle drainage. Taboo squeeze purulent lesions.

(5) to keep local clean and dry: adhere to local skin cleaning, daily showers are the best conditions. Young children with skin, topical lip after taking a bath in summer, to avoid the formation of multiple Boil.

3. Systemic treatment usually does not require systemic treatment of boils. But facial boils or accompanied by chills, fever, headache, general malaise, etc., should be given antibiotics. Clinical observations and experimental results show that the efficacy of penicillin, cephalothin, cefazolin and amikacin better effect.

(B) the prognosis

generally good prognosis after active treatment, without sequelae.

[Examine]

boil should be how?

1. Peripheral blood

(1) white blood cell count: fever, elevated WBC count may have.

(2) white blood cell count: white blood cell count was elevated often accompanied by increased neutrophils .

2. diabetes check

(1) fasting plasma glucose measurement: two fasting blood glucose were increased, should consider the possibility of diabetes.

(2) glycated serum protein: This clinical trial is not the impact of fluctuations in blood glucose higher than normal to help the diagnosis of diabetes.

(3) glycosylated hemoglobin: glycosylated hemoglobin and blood glucose were positively correlated, and the irreversible reaction. Diabetes is often higher than the normal 2 to 3 times.

3. bacteriologic

(1) bacterial culture: the multiple, repeated infections, abscesses can be extracted directly pus for bacterial culture, positive results will help the diagnosis of pathogens.

(2) drug susceptibility testing: bacterial culture in the pus, while line drug susceptibility testing can provide the scientific basis of clinical drug treatment.

[Diff]

boil diseases easily confused?

1. Multiple sweat gland abscesses are summer disease, more common in infants and young children and frail mother's head, forehead, etc .. Lesions of multiple subcutaneous abscesses. Surface tenderness, inflammation lighter. No pus bolt, left scars. Usually accompanied by a lot of prickly heat. Generally known as prickly heat poison. It was also known as pseudo furunculosis (Pseudofurunculosis).

2. Hidradenitis suppurativa common in young women, lesions of the skin induration. Subcutaneous abscess formation, followed by skin redness, swelling, heat, pain, ulceration scarring. Lesions occur in the armpits, groin, genital and perianal, umbilical, etc.

3. acne acne mild infection, red, swollen, painful, but the disease is small, the top a little bit like creamy.

4. sebaceous cysts sebaceous cyst infection are redness, swelling, pain, but the previous round has been painless mass over an extended period , the epidermis as usual.

5. carbuncle carbuncle with redness, swelling, pain, but there are several hair follicle infection, lesions larger than the boil.

[Disease]

hump-related diseases

juvenile osteochondrosis of vertebral osteoporosis youth sexual hump sore scoliosis ankylosing spondylitis vitamin D deficiency disease

more back symptoms

small blisters appear back back pain back spasms, back pain does not have subtle linen spine back pain sinus pain Road with sensory ataxia spinal nerve root damage spinal cord hemisection syndrome, spinal cord lesions of hemorrhagic infiltration of the spinal cord injury spinal cord infarction, cauda equina involvement across the spinal cord within the spinal cord gliosis in the spinal cord anterior horn of the spinal cord lesion cavity formed spinal thalamic tract compression


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