Can acute mastitis be cured by puncture and extraction of pus?

Acute mastitis is a common disease among breastfeeding mothers. If incision and drainage are required, milk must be withdrawn. Many mothers do not want to stop breastfeeding, so they choose breast puncture as a treatment method. But can breast puncture and extraction of pus completely cure acute mastitis? The answer is no. If the pus is not completely absorbed, it will recur. Therefore, if the situation is serious, surgical treatment is recommended.

treat

Acute mastitis should be treated as early as possible. Early mastitis is mainly characterized by milk stasis inflammation, which has not yet formed into pus, and can be treated with ultrashort wave therapy. If the fever is high, it can be treated with infusion, penicillin, and cephalosporin antibiotics. It is recommended not to breastfeed while taking antibiotics.

When acute mastitis reaches the stage of abscess formation, timely incision and drainage are required. The size and position of the incision should be based on the principle of ensuring smooth drainage of pus. Because breast abscesses are often multi-chambered, it is necessary to use fingers to separate the connective tissue partitions of multiple abscess cavities so that drainage can be unobstructed. Abscesses deep in the breast are mainly characterized by high fever and chills. The local redness and swelling are not obvious, and there is no fluctuation. A puncture and pus extraction test can be done first, and then an incision can be made after the presence of pus is confirmed. It is best not to wait for breast abscess to rupture on its own, because the abscess cavities are often multiple or occur one after another, and the spontaneous rupture cannot be drained completely. Generally speaking, as long as the pus is drained and the fever subsides, suppurative mastitis will enter the wound healing period. The dressing will be changed every other day, and the wound will usually heal within a month.

examine

Acute mastitis can usually be diagnosed by clinical observation and palpation. The most commonly used test is blood count, which can detect elevated white blood cells or neutrophils. Color Doppler ultrasound can determine the location and size of the abscess cavity. During puncture or incision, a small amount of pus is taken for bacterial culture and drug sensitivity test to provide guidance for the use of antibiotics.

diagnosis

The diagnosis of acute suppurative mastitis is relatively easy. It can be diagnosed based on redness, swelling, heat and pain in the breast, body temperature as high as 39℃~40℃, and increased white blood cell count in the blood. If the abscess is located deep and the abscess cavity is located in the post-glandular space, the redness and swelling of the skin are often not obvious. At this time, puncture and extraction of pus are required for confirmation. If the treatment is improper, the abscess forms slowly, the local lump does not disappear, the skin redness and swelling and systemic symptoms are not obvious, and chronic inflammation occurs, which needs to be differentiated from other diseases.