Breathing is shallow, gentle, the affected half of the chest noticeably lags behind with respiratory movements. The patient is forced to take a position lying on the patient’s side to limit the mobility of the chest. The clinic of dry pleurisy is characterized by stabbing pains in the chest, which increase with coughing, breathing and movement. ![]() Symptoms of pleurisy Dry pleurisyĪs a rule, being a secondary process, complication or syndrome of other diseases, the symptoms of pleurisy can prevail, masking the underlying pathology. closed or limited (parietal, apical, diaphragmatic, costodiaphragmatic, interlobular, paramediastinal). ![]() exudative (pleurisy with serous, serous-fibrinous, purulent, putrefactive, hemorrhagic, cholesterol, eosinophilic, chyletic, mixed effusion).non–infectious (with the designation of the disease leading to the development of pleurisy – lung cancer, rheumatism, etc.) īy the presence and nature of the exudate:.infectious (according to the infectious pathogen – pneumococcal, staphylococcal, tuberculosis, etc.Petersburg State Medical University, is most often used in clinical practice. The classification of this disease, proposed in 1984 by Professor N.V. When the liquid part of the exudate is absorbed, mooring – fibrinous pleural overlays leading to partial or complete pleurosclerosis (obliteration of the pleural cavity) can form on the surface of the pleura. The acute phase of pleurisy is characterized by inflammatory edema and cellular infiltration of pleural leaves, accumulation of exudate in the pleural cavity. If the formation and accumulation of effusion in the pleural cavity exceeds the rate and possibility of its outflow, then exudative form develops. This is how the formation of dry (fibrinous) pleurisy occurs. Pleurisy can develop as a result of increased permeability of lymphatic and blood vessels in systemic vasculitis, tumor processes, acute pancreatitis violations of lymph outflow reduction of general and local reactivity of the body.Ī small amount of exudate can be reabsorbed by the pleura, leaving a fibrin layer on its surface. Direct entry of microorganisms into the pleural cavity occurs when the integrity of the chest is violated (with wounds, injuries, surgical interventions). Contact, lymphogenic or hematogenic pathways of penetration are possible from subpleurally located sources of infection (with abscess, pneumonia, bronchiectatic disease, suppurated cyst, tuberculosis). Pathogens of infectious form directly affect the pleural cavity, penetrating it in various ways. The mechanism of development of various etiologies has its own specifics. other causes ( hemorrhagic diathesis, leukemia, pancreatitis, etc.).PE, lung infarction, myocardial infarction.diffuse connective tissue lesions ( systemic lupus erythematosus, rheumatoid arthritis, scleroderma, rheumatism, systemic vasculitis, etc.).malignant tumors of the pleura (pleural mesothelioma), metastases to the pleura in lung cancer, breast cancer, lymphoma, ovarian tumors, etc.Pleurisy of non-infectious etiology causes: surgical interventions and chest injuries.syphilis, typhoid fever, brucellosis, tularemia.tuberculosis infection (detected in 20% of patients with pleurisy).viral, parasitic ( amoebiasis, echinococcosis), mycoplasma infections.fungal infections ( candidiasis, blastomycosis, coccidioidosis).bacterial infections (staphylococcus, pneumococcus, gram-negative flora, etc.). ![]() The causes of pleurisy of infectious etiology are: For reasons of occurrence, disease is divided into infectious and non-infectious (aseptic). Often pleurisy is not an independent pathology, but accompanies a number of diseases of the lungs and other organs. Statistically, disease is more often diagnosed in middle-aged and elderly men. Disease can aggravate the course of various diseases in pulmonology, phthisiology, cardiology, oncology. The diagnosis of “pleurisy” is made by 5-10% of all patients being treated in therapeutic hospitals. Pathology may be accompanied by an accumulation of effusion in the pleural cavity (exudative pleurisy) or proceed with the formation of fibrinous overlays on the surface of inflamed pleural leaves (fibrinous or dry pleurisy). Pleurisy is an inflammation of the visceral (pulmonary) and parietal (parietal) pleural leaves.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |