First, the definition of perianal and rectal space around the occurrence of acute and chronic suppurative infection caused by abscess, known
First, the definition of perianal and rectal space around the occurrence of acute and chronic suppurative infection caused by abscess, known as perianal abscess. Chinese medicine called anal carbuncle.
Two, diagnosis of 1, acute onset, more common in the perianal subcutaneous space. 2, perianal mass, redness, swelling, heat, pain, wave motion or puncture out pus. 3, chills, fever, dry stool, difficulty in urination. 4, the total number of white blood cells and neutrophils increased.
Three, differential diagnosis, 1 suppurative hidrosadenitis, 2, 3, folliculitis, sebaceous cyst, 4, thrombotic external hemorrhoids.
Four, check 1, will check items: examination, inspection, blood etc.. 2 reference project: Anal Zhou Bchao, blood coagulation index, blood glucose, liver and kidney function, ECG, germiculture and pathology.
Five, (a), Chinese medicine: an anal carbuncle category, treatment of internal treatment and external treatment therapy. 1, stop: the card is refined for the burning heat purging fire, swelling of soft Kennedy, Fang Xuanxian Huoming decoction. The card is reduchishen for detoxification, TongFuXieRe, Coptis Decoction in choose shu. The card is the love for the poison Yin Yin heat, choose Qinghao Biejia decoction. 2 external governance: external application: Fuhuang ointment.
(two) and Western medicine: 1, treatment principle: once fester, immediately incision and drainage, surgery should try to identify and remove the primary infection, and retention of postoperative wound drainage, so as to avoid the sequela of anal fistula, anal sphincter injury should be minimized during operation, in order to protect the anal function. 2, drug therapy: anti infection and systemic support therapy. 3, surgical methods: (1) a one-time incision drainage and a one-time incision and drainage, for the mouth of the clear low perianal abscess. (2) a single incision and thread drawing technique and a one-time incision and thread drawing drainage are used for high perianal abscess. (3) incision and drainage for perianal abscess or physical weakness that is not clear in the inner part of the patient. (4) two (5). The surgical incision exclusion and other sphincter preserving surgery.