The treatment principle of lung abscess is anti-inflammation and sputum drainage, etc. Commonly used drugs include antibiotics and expectorants.
1. Antibiotics: most of the main causative organisms of lung abscess are sensitive to penicillin, which is more commonly used; when the causative organisms are not sensitive to penicillin, lincosamide antibiotics (e.g., lincomycin) or nitroimidazole antibiotics (e.g., metronidazole) can be used in combination; for legionella lung abscess, macrolides (e.g., erythromycin) or quinolones (e.g., levofloxacin) can be chosen as the antibiotics.
2. Expectorants: When the sputum of patients with lung abscess is thick and not easy to cough out, expectorants such as bromhexine, ammonium chloride, and aminoglutethimide hydrochloride can be used for treatment.
In addition to medication, physical measures to drain sputum, such as turning and patting the back, shocking sputum, and tracheoscopic suction, are also important. Chronic lung abscess may have symptoms for a long time, and surgery may be considered if medication is not effective. It is recommended that patients with lung abscess go to the hospital in time for active treatment. The above drugs should be used under the guidance of a doctor.