The diagnosis of acute mastitis

Acute mastitis is a breast acute purulent disease, usually caused by Staphylococcus aureus infection. Was particularly prevalent in the early breast-feeding mothers. Bacteria can be damaged or chapped nipples from the Department of invasive, intrusive or directly through duct and then spread to the substance of the breast. In general, a shorter course of acute mastitis, a good prognosis, but if improperly treated, the disease will also be persistent, systemic complications may be even purulent infection. Acute mastitis Chinese medicine known as the "milk carbuncle."

Acute mastitis in the beginning of the affected breast, the pain, especially when breast-feeding, poor milk secretion, the agglomeration of breast or not, the body can not obvious symptoms, or with general malaise, poor appetite, chest tightness, irritability And so on. Then, partial breast hardening, the mass gradually increased, at this time can be associated with obvious symptoms such as high fever, chills, body weakness, constipated and so on. Often in 4 to 5 days after the formation of abscess can occur pulsatile breast pain, local skin irritation, and transparent. When pus into the central mass softened by a sense of volatility there. If the breast for deep abscess may be a totally breast swelling, pain, high fever, skin irritation and local fluctuations in the obvious, be subject to puncture a clear diagnosis. Abscess can sometimes several, or to form one after another at different times can be pierced the skin, penetration or duct, so that the pus from the overflow nipple. Pokui pus out, pus drainage, reduce pain and swelling consumer more. If the treatment of the poor cumbersome and improper, major muscle abscess may be pierced before the fascia loose connective tissue to form a breast abscess; milk or self-mouth overflow Department and the formation of milk leakage; severe sepsis can occur sepsis. Acute mastitis often axillary lymph nodes are affected, there is tenderness; the total number of white blood cells and neutrophils increased.

The diagnosis of acute mastitis points:

① patients for breast-feeding women, especially in the beginning mostly for maternal, before the onset chapped nipples are more damaged and the history of the history of poor milk deposition.

② local symptoms: breast swelling and pain festering heat. Ipsilateral axillary lymph node swelling may have.

③ systemic symptoms: chills, fever, irritability, fatigue, dry it, and so on.

④ laboratory examination: white blood cell count increased, particularly neutrophils apparent increase in the number. When local pumping can be suppurative have purulent discharge.