Abscess of the lung
Abscess of the lung - purulent melting of the pulmonary parenchyma. The most common cause is pneumonia caused by staphylococcus, klebsialoy, anaerobes, as well as contact infection with pleural empyema, sub-diaphragmatic abscess; Aspiration of foreign bodies, infected contents of the paranasal sinuses and tonsils. Indirect causes include septic emboli that enter the hematogenous path from the foci of osteomyelitis, gonitis, prostatitis, less often a lymphogenous path occurs - a skid with furuncles of the upper lip, phlegmon of the bottom of the oral cavity. Multiple abscesses, more often bilateral, arise as a result of septicopyemia. Abscess of the lung can be a complication of a lung infarction, the disintegration of a cancerous tumor in the lung.
Acute abscess with perifocal inflammatory infiltration of the lung tissue can go into a chronic form with the formation of a dense pyogenic shell.
Symptoms, course. Signs of purulent-resorptive fever, hectic temperature, dyspnea, local aspiration, paroxysms of barking cough with an increase in the amount of sputum when the position of the body changes. Physically: bronchial breathing, various rales. Typical three-layer sputum: yellowish mucus, watery layer, on the bottom - that. In the blood-leukocytosis with a shift to the left, anemia, hypoalbuminemia and disproteinemia. Possible spontaneous internal drainage of the abscess as a result of its breakthrough into the nearby bronchus, a sign of which is the sudden release of a large amount of fetid (full mouth) sputum. A frequent complication is perforation into the free pleural cavity with the formation of pleural empyema. The final diagnosis is established by X-ray examination in the direct and lateral projections, as well as tomogram4.) More informative is computer X-ray tomography.
An important role is played by bronchoscopy with aspiration of pus for the determination of microflora and choice of antibiotics, biopsy for differential diagnosis with a disintegrating tumor.
Treatment is carried out in a hospital. Postural drainage, bronchoscopic sanitation, antibiotic therapy, taking into account the weekly repeated antibioticogram. Surgical treatment is indicated only in the absence of the effect of conservative treatment.
The prognosis is favorable: in most cases obliteration of the abscess cavity and recovery is noted. X-ray control is mandatory at 3 and 6 months after recovery.
- Surgical diseases
- Abscess
- Abscess appendicular
- Abscesses of the abdominal cavity
- Abscess of the Douglas space
- Intestinal abscess
- Soft tissue abscess
- Abscesses of soft tissues after injection
- Abscess of liver
- Amoebic liver abscess
- Prostate adenoma
- Actinomycosis
- Aneurysm
- False aneurysm
- True aneurysms
- Aneurysm of the aortic arch
- Aneurysm of descending thoracic aorta
- Dissecting Aneurysm
- Aneurysm of the abdominal aorta
- Aneurysm of peripheral vessels
- Arteriovenous aneurysm
- Aneurimas of the heart
- Appendicitis acute
- Perforation of the appendage
- Appendicular infiltration
- Pielephlebitis
- Atheroma
- Bronchoectasis
- Varicose veins
- Varicose veins of the spermatic cord
- Dropsy of testis and spermatic cord
- Rectal prolapse
- Gangrene gas
- Gangrene lung
- Hemorrhoids
- Hydradenite
- Gynecomastia
- Hernia
- Internal hernias
- Hernias of the esophagus
- External hernias
- Herniated hernias
- Herniated hernia
- Hernia of the white line
- Hernia postoperative ventral
- Herniated hernia
- Rare hernias
- Pincushion
- Phlegmon hernial sac
- False infringement of a hernia
- Hernias with inflammation
- Dumping syndrome
- Diverticulum
- Esophagus diverticulum
- Cervical diverticulum
- Bifurcation diverticulum
- Epiphrenic diverticulum
- Epiphrenic diverticulum
- Diverticulum of the stomach
- Diverticulum of the duodenum
- Meckel's diverticulum
- Jaundice mechanical
- Bile duct stones
- Ventilated stone of choledoch
- Papillotenosis
- Stricture of bile ducts
- Cancer of the head of the pancreas
- Cholelithiasis
- Urinary retention acute
- Zollinger-Ellison syndrome
- Foreign bodies of bronchi
- Foreign bodies of the stomach
- Foreign bodies of the esophagus
- Foreign bodies of soft tissues
- Carbuncle
- Brushes and fistulas of the neck are lateral
- Cysts and fistulas of the neck median
- Colitis ulcerative ulcerative
- Coccygeal epithelial passage
- Cryptorchidism
- Bleeding
- Bleeding internal
- Bleeding gastrointestinal
- Varicose veins
- The Mallory-Weiss Syndrome
- Bleeding into the abdominal cavity
- Bleeding pulmonary
- Bleeding external
- Parenchymal hemorrhage
- Crohn's disease
- Lymphadenitis
- Lymphangitis
- Mastitis
- Putrefactive mastitis
- Acute non-lactational mastitis
- Chronic mastitis
- Megacolon
- Mediastinitis
- Intestinal obstruction
- Paralytic intestinal obstruction
- Mechanical intestinal obstruction
- X-ray diagnostics
- Specific types of intestinal obstruction
- Ingrown throat
- Frostbite
- Local cooling
- Burn
- Occlusion of the main arteries
- Acute occlusion of the vessels of the extremities
- Acute occlusion of mesenteric vessels
- Chronic occlusions of arterial vessels
- Obtiterating atherosclerosis
- Aortic ileal type
- Hips and popliteal type
- Peripheral type
- Occlusion of aortic arch branches
- Occlusion of carotid arteries
- Occlusion of the subclavian artery
- Takayasu's syndrome (absence of pulse)
- Chronic occlusion of mesenteric vessels (abdominal toad)
- Stenosis of the renal arteries
- Obliterating thrombangitis
- Raynaud's disease
- Orcoepididymitis
- Acute abdomen
- Acute pancreatitis
- Chronic pancreatitis
- Acute Cholecystitis
- Panaritium
- Panaritium cutaneous
- Paronichy
- Panaritium subungual
- Panaritium tendinous
- Panaritium articular
- Panaritium bone
- Penetrating ulcer of the stomach and duodenum
- Peritonitis
- Peritonitis chronic
- Piopevneumotorax
- Pneumothorax spontaneous
- Postcholecystectomy syndrome
- Perforated ulcer
- Covered perforation
- Bedsore
- Prostatitis
- Wounds
- Fistulas of the rectum
- Stenosis of the outlet stomach
- Fracture of anus
- Urethritis
- Phimosis, paraphimosis
- Phlebothrombosis
- Occlusion of subclavian vein
- Phlegmon
- Furuncle
- Cholangitis
- Electric trauma
- Empyema of the pleura
- Congenital intestinal obstruction
- Atresia of the anus
- Congenital cholangiopathy of newborns
- Pylorostenosis
- Embryonic hernia (hernia of umbilical cord)
- Exstrophy of the bladder
- Dropsy of shells of testis and spermatic cord
- Surgical diseases of the chest
- Congenital diaphragmatic hernia
- Congenital cysts of the lungs
- Pneumothorax
- Tracheophishoprine fistula
- Mastitis of newborns
- Acute hematogenous osteomyelitis
- Peritonitis in newborns
- Acute paraproctitis
- Necrotic phlegmon of newborns
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