The treatment for my elder sister should be scientific, which now includes systemic treatment and some local medications. For local medications, you can use external anti-inflammatory powder or some patches to relieve the symptoms. If the condition is serious, surgical treatment is required. 1. Systemic treatment. 1. Acute lymphadenitis should first control inflammation to prevent its spread, and use effective and sufficient antibiotics such as penicillin, streptomycin or other broad-spectrum antibiotics. Medication can also be selected based on the drug sensitivity test of the specimen. 2. For tuberculous lymphadenitis, isoniazid 100 mg, 3 times a day, for long-term use for 18-24 months, and streptomycin 0.5 g, intramuscular injection twice a day. 2. Local treatment. 1. Apply anti-inflammatory powder externally to reduce inflammation and relieve pain. 2. Application: If tuberculous lymphadenitis breaks through and forms fistula, you can apply streptomycin on the basis of removing the sinus tract and scraping the diseased tissue. 3. Blockade therapy: When the abscess has not yet formed, penicillin and procaine solution can be used for peri-lymph node blockade (a skin test is required first). 3. Surgical treatment. 1. When purulent lymph nodes are accompanied by oral abscess or cellulitis, incision and drainage should be performed to remove pus and necrotic tissue. 2. Single or active proliferative lymph node tuberculosis that is not well treated with anti-tuberculosis drugs can be surgically removed and pathologically examined. |
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