Caseous pneumonia | Stop Tuberculosis!!
Caseous pneumonia - a special form of the clinical course of tuberculosis, which may be primary, but it is often secondary to pulmonary tuberculosis patients with a sharp depletion of reactivity. The occurrence of caseous pneumonia associated with the prevalence of caseous-destructive processes of exudative-productive, which in turn caused severe disturbance reactivity gipersensibilizatsiya body, high virulence and massive infection. In primary caseous pneumonia process immediately takes all share in the secondary - may be limited segment (lobular caseous pneumonia). Cheesy melt extends to the bronchial wall, festering mass falls into the lumen of the bronchus and the patient vidharkuye them. Formed cavity decay or a large cavity.
Caseous pneumonia begins acutely, increased body temperature, there is pain in the chest, severe cough with large amounts of sputum. wisdom tooth pain Originally mucopurulent sputum rapidly becomes purulent character may be mixed with blood. Patients wisdom tooth pain concerned about shortness of breath, fatigue, indisposition. Secondary caseous pneumonia sometimes occurs after pulmonary hemorrhage as aspiration pneumonia. In places aspiration formed caseous degeneration of lung tissue with the appearance of typical clinical picture of caseous pneumonia. Patients adynamichni, take a forced situation. Is marked acrocyanosis, tachycardia. An objective wisdom tooth pain examination of areas of caseous degeneration exhibit blunting lung sounds, bronchial breathing, resonant numerous moist rales. In the laboratory study of specimens show a large number of MBT elastic fibers. In peripheral blood leukocytosis high - 12,109-15,109 / l, a significant wisdom tooth pain shift in leukocyte formula, lymphopenia, dramatically accelerated ESR - 50-60 mm / hr.
X-rays at lobarnyh pneumonia exhibit intense eclipse, which occupies the entire portion without clear limits to the available cavity decay. In lobular caseous pneumonia wisdom tooth pain on chest radiograph shows multiple large foci eclipse of enlightenment, sometimes placed symmetrically in both lungs (Fig. 76). The differential diagnosis of caseous pneumonia of lobar carried out on the basis of clinical and radiological signs. Lobar pneumonia begins acutely, there is high fever, severe shortness of breath, flush on the face, tongue dry and coated. Patients vidkashlyuyut small amount wisdom tooth pain of viscous wisdom tooth pain and "rusty" sputum. Physical at the beginning of the disease background shortened to be heard crackling percussion. At the height of the disease over the area blunting, often in the lower lobes of the lung, against blunting auscultated only bronchial breathing. During the resolution process, there is crackling. On radiographs for lobar pneumonia is characterized by intense homogeneous darkening of one - two segments, sometimes entire lobe. Treatment of caseous pneumonia should be comprehensive. Apply tuberkulostatychni drugs to the maximum tolerated dose. From the beginning, after diagnosis, prescribe isoniazid, streptomycin, rifampicin, pyrazinamide. It is advisable to conduct parenteral antibiotics (intravenously or intramuscularly). Simultaneously prescribed symptomatic treatment - vidharkuyuchi, diuretic, diaphoretic remedies, wisdom tooth pain vitamins and antioxidants, intravenous infusion on plasma-tive, reopoliglyukinu, Ringer-Locke both. The patient should receive a balanced diet. Given that conservative therapy does not always provide cure should be initially anticipate surgery such as resection of lung or lobe. Weather in caseous pneumonia is always serious.
Read as well: 12.5. Content lung atelectasis lung atelectasis - a condition where the alveoli spalys and they no air. Atelectasis can spread to the whole lung, part, segment subsehment. Partial decay and ... 16.4. General principles of surgical treatment of pulmonary tuberculosis Summary of surgical techniques to date TB science has an important place in the treatment of patients with pulmonary tuberculosis. First surgical care for patients ... 12.6. Bronchial fistula and thoracic Contents bronchial fistula - abnormal connection is stable and thoracic lumen bronchus pleural cavity, internal organs, or bronchi due to pleural ... 16. General principles of treatment of patients with pulmonary tuberculosis Summary In the previous sections, when considering clinical forms of tuberculosis, highlighted issues related to their treatment. But there are key questions relating to the general ... 13. Tuberculosis wisdom tooth pain of other organs and systems (extrapulmonary tuberculosis) meaning of the term "tuberculosis of other organs or extrapulmonary tuberculosis" use in cases where TB patients are symptom manifestuyuchym dysfunction ... 17.3. Examination employers
Caseous pneumonia - a special form of the clinical course of tuberculosis, which may be primary, but it is often secondary to pulmonary tuberculosis patients with a sharp depletion of reactivity. The occurrence of caseous pneumonia associated with the prevalence of caseous-destructive processes of exudative-productive, which in turn caused severe disturbance reactivity gipersensibilizatsiya body, high virulence and massive infection. In primary caseous pneumonia process immediately takes all share in the secondary - may be limited segment (lobular caseous pneumonia). Cheesy melt extends to the bronchial wall, festering mass falls into the lumen of the bronchus and the patient vidharkuye them. Formed cavity decay or a large cavity.
Caseous pneumonia begins acutely, increased body temperature, there is pain in the chest, severe cough with large amounts of sputum. wisdom tooth pain Originally mucopurulent sputum rapidly becomes purulent character may be mixed with blood. Patients wisdom tooth pain concerned about shortness of breath, fatigue, indisposition. Secondary caseous pneumonia sometimes occurs after pulmonary hemorrhage as aspiration pneumonia. In places aspiration formed caseous degeneration of lung tissue with the appearance of typical clinical picture of caseous pneumonia. Patients adynamichni, take a forced situation. Is marked acrocyanosis, tachycardia. An objective wisdom tooth pain examination of areas of caseous degeneration exhibit blunting lung sounds, bronchial breathing, resonant numerous moist rales. In the laboratory study of specimens show a large number of MBT elastic fibers. In peripheral blood leukocytosis high - 12,109-15,109 / l, a significant wisdom tooth pain shift in leukocyte formula, lymphopenia, dramatically accelerated ESR - 50-60 mm / hr.
X-rays at lobarnyh pneumonia exhibit intense eclipse, which occupies the entire portion without clear limits to the available cavity decay. In lobular caseous pneumonia wisdom tooth pain on chest radiograph shows multiple large foci eclipse of enlightenment, sometimes placed symmetrically in both lungs (Fig. 76). The differential diagnosis of caseous pneumonia of lobar carried out on the basis of clinical and radiological signs. Lobar pneumonia begins acutely, there is high fever, severe shortness of breath, flush on the face, tongue dry and coated. Patients vidkashlyuyut small amount wisdom tooth pain of viscous wisdom tooth pain and "rusty" sputum. Physical at the beginning of the disease background shortened to be heard crackling percussion. At the height of the disease over the area blunting, often in the lower lobes of the lung, against blunting auscultated only bronchial breathing. During the resolution process, there is crackling. On radiographs for lobar pneumonia is characterized by intense homogeneous darkening of one - two segments, sometimes entire lobe. Treatment of caseous pneumonia should be comprehensive. Apply tuberkulostatychni drugs to the maximum tolerated dose. From the beginning, after diagnosis, prescribe isoniazid, streptomycin, rifampicin, pyrazinamide. It is advisable to conduct parenteral antibiotics (intravenously or intramuscularly). Simultaneously prescribed symptomatic treatment - vidharkuyuchi, diuretic, diaphoretic remedies, wisdom tooth pain vitamins and antioxidants, intravenous infusion on plasma-tive, reopoliglyukinu, Ringer-Locke both. The patient should receive a balanced diet. Given that conservative therapy does not always provide cure should be initially anticipate surgery such as resection of lung or lobe. Weather in caseous pneumonia is always serious.
Read as well: 12.5. Content lung atelectasis lung atelectasis - a condition where the alveoli spalys and they no air. Atelectasis can spread to the whole lung, part, segment subsehment. Partial decay and ... 16.4. General principles of surgical treatment of pulmonary tuberculosis Summary of surgical techniques to date TB science has an important place in the treatment of patients with pulmonary tuberculosis. First surgical care for patients ... 12.6. Bronchial fistula and thoracic Contents bronchial fistula - abnormal connection is stable and thoracic lumen bronchus pleural cavity, internal organs, or bronchi due to pleural ... 16. General principles of treatment of patients with pulmonary tuberculosis Summary In the previous sections, when considering clinical forms of tuberculosis, highlighted issues related to their treatment. But there are key questions relating to the general ... 13. Tuberculosis wisdom tooth pain of other organs and systems (extrapulmonary tuberculosis) meaning of the term "tuberculosis of other organs or extrapulmonary tuberculosis" use in cases where TB patients are symptom manifestuyuchym dysfunction ... 17.3. Examination employers
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