Anti-infection and diversion treatment of bacterial liver sepsis
The bacterium hepatic sepsis is a blubber of the liver caused by bacterial infections, which is dangerous and, if not treated in a timely manner, can cause serious complications and even endanger life, for which resistance to infection and diversion are essential.
I. Anti-infection treatment
1. Before the pathogen is identified
Most of the bacterial hepatic sepsis is caused by intestinal gland vaginal bacterium, e.g., e.g., intestinal Eshicella, and is common in mixed infections such as golden scrobella and anaerobic scrobella. Given the uncertainties of pathogens, initial empirical drugs need to cover broad spectrum resistance. Third-generation sepsis, e.g., thawing, is often selected as an anti-bacterial activity, which penetrates the bacterium wall, inhibits cell-wall synthesis and causes bacterial death, and is combined with americium, which is particularly effective for anaerobic bacteria and prevents reproduction by destroying its DNA spiral structure. The dose is determined on the basis of the patient ‘ s body weight and severity of the condition, i.e., the normal dose for adults with head spines is 2 – 4 g per day, with a fraction of 1 – 2 times, and the first dose of mg/kg of mitazine is maintained at 7.5 mg/kg, once per 6 – 8 hours, to ensure that effective haemopharmaceutical concentrations are rapidly achieved.
2. When the pathogen is identified
Once bacterial growth and drug-sensitive results return, they should be adjusted to precision target treatment. In the case of the production of methylenedioxysicillin-yellen fungus (MRSA), it is necessary to replace it with vancomicin, which inhibits the synthesis of bacterial cystals, forms a compound with a sticky peptide-side chain, hinders cell wall formation, with a conventional dose of 2g per day, with 2 – 3 intravenous drops; in the case of gland cactus fungus that produce ultra-wide β-NEMLs, it is possible to use carbon-cyanide antibiotics such as Melopynan, with its unique chemical structure, to resist bacterial β-neamide destruction, to stabilize antibacterial activity, at a dose of 0.5 – 1 g per day per 8 hours. The adverse effects of drugs, such as the renal toxicity of vancocin, the red man syndrome, the gastrointestinal reaction of carbon carcinol, etc., need to be closely monitored throughout the process, and the use of the drug adjusted as necessary.
Treatment
Anti-infection treatment is long, usually 4 – 6 weeks. This is due to the abundance of blood in the liver, the bacterium that is easily endemic and packaged as a result of swollen swollen formation, and the fact that short-term medicine is difficult to completely remove. Clinically, the patient ‘ s temperature is normal, the white cell count is normal, signs are significantly improved, and blood is bled negative 2 – 3 times, and the sepsis is reduced to a detoxification standard to ensure complete control of the infection.
II. Diversion treatment
1. PTAD
This is the microbrow method that is now common. Under the guidance of ultrasound or CT, the precise location of the swollen part of the swollen, and the mahjong will pass through the pelvis. The advantage is that it is small, easy to operate and can be performed by bedside, especially for the elderly, infirm and unsatisfied. Following the success of the puncture, the fluids are placed in the fluids, which are smooth, with the initial fluids often thick, and can be washed by the physiological saline, 2-3 times a day, to facilitate the discharge of the fluids, which need to be properly fixed to prevent their release, to observe regularly the fluids and quantities of the fluids, to be lit up by the fluids, to be reduced to less than 10 ml/d, and to have the swollens largely disappear, and to remove the fluids after they have been confirmed by video.
2. Surgery to open the flow
When the abscess is larger ( > 5 cm in diameter), there is a tendency to break through, or when it is not effective to draw through the skin, it is difficult to get through through the puncture to the point. The operation is carried out under the all-embracing conditions, which cut open the pebbles of the liver and lead to a full flow of sepsis, while removing the depravity tissue from the sepsis, which is conducive to the aversion of inflammation, but is relatively large in terms of trauma, long post-operative recovery periods, risks of haemorrhage, spread of infection, etc., and also after the surgery, which is followed by the provision of incisions, fluids, close observation of the patient ‘ s vital signs, abdominal signs and the promotion of rehabilitation in conjunction with anti-infection treatment.
During both anti-infection and diversion treatment, the nutritional support of the patient is enhanced, as infection, surgical stress and stress consumes a great deal of energy, which can be combined with intestine, intestine, high-heat, high-vitamin diet or nutrients, increase the body ‘ s immunity, co-therapy and increase the curing rate of bacterial liver sepsis.
