Gangrene lung

Gangrene lung - progressive putrefactive decay of the lung parenchyma under the influence of anaerobic infection. Predisposing diseases can be chronic alcoholism, diabetes mellitus, aspiration from foci of purulent infection in the mouth and pharynx, pneumonia in weakened patients. Distinguish acute gangrene within the anatomical boundaries of the share (dope) without delimiting pyogenic shell and gangrenous, more often giant, abscess.

Symptoms, course. The current is sharp. Fast, generalized decay of lung tissue with putrefactive, bloody sputum containing elastic fibers, fatty acids, leucine and tyrosine crystals. The resulting purulent-resorptive fever is quickly replaced by purulent-resorptive exhaustion, confused consciousness, the body temperature becomes subfebrile, with shifting the formula of the blood drop to the left there is only a slight hyperleukocytosis, hypoproteinemia and disproteinemia are expressed. Breathing is usually weakened, less often amphoric over the cavity of decay. Radiographically defined delimited darkening, often with a horizontal level of fluid in the pleural cavity and / or in the cavity of the abscess. With the help of tomography, the boundaries of the disintegration of lung tissue are refined.

Treatment. Second-generation cephalosporins, intensive infusion therapy, repeated courses of plasmapheresis, IV injection of freshly frozen plasma in the amount of 200 ml per day (injected with jet or rapid drops), metronidazole. Surgical treatment is indicated for profuse pulmonary arthrosis bleeding in a planned manner with an improvement in the vollemic background. The outlook is unfavorable.