Thursday, May 31, 2007
In Case It Causes A Vessel, Appears The
In case it causes a vessel, appears the Tumour of the big - sizes, reaching a chest wall or a diaphragm, can - cause chest pains, difficulty of breath; at localisation in medial departments of a lung - pains in the field of heart At sdavle-nii a large bronchial tube there is so-called "centralisation" of a peripheral tumour. The clinical picture in these cases is similar to a clinical picture of the central tumour. The diagnosis of a good-quality peripheral tumour, as a rule-, is very difficult. The roundish form, equal contours of a shade the tumours - which are found out at radiological research, presence - in it of limy inclusions are not for a good-quality new growth and can be at a - tuberculosis, peripheral , hematomas. At it is possible to reveal that vessels bend around - formation in a lung while at a malignant tumour amputation of the branches approaching to a tumour is observed. At the small size of a tumour it is research does not specify the diagnosis. - sometimes reveal indirect signs of a peripheral tumour - displacement of bronchial branches, change of their corner from-circulation, sometimes narrowing of a gleam at the expense of external pressure.
Tuesday, May 29, 2007
Surgical Intervention Is Shown At A Lung Gangrene
Surgical intervention is shown at a lung gangrene (pulmon - or ); at a sharp abscess to it resort when there are extensive centres a pulmonary fabric at enough satisfactory For these patients carry out one-stage (in the presence of unions between and pleura leaves) or two (in the absence of unions) . Last years these operations make all less often as good the abscess can be reached at its puncture through a chest wall introduction in a cavity of an abscess of a drainage with the help (rice 16 and) I Will follow pus and introduction enzymes and antibiotics usually give good effect. Conservative baking is unpromising at abscesses in diameter more than 6 sm to very thick capsule of an abscess of an intoxication revealed at radiological research not conceding) high-grade complex therapy In these cases can recommend a lung resection in the sharp period. Outcomes of a sharp abscess of a lung 1) an absolute recovery at which along with disappearance of clinical semiology disappear also radiological symptoms of an abscess of a lung 2) clinical recover which is characterised by a total disappearance of clinical displays of disease however rents in a lung the dry cavity 3 comes to light) clinical improvement by the time of an extract of the patient remains a body temperature of the patient allocates a fur-tree small amount purulent with Rentgenologicheski with a pulmonary fabric in its circle 4) without improvement the cavity is found out in these patients without what or the sharp form passes remissions in chronic Quickly the intoxication accrues warm insufficiency a dystrophy bodies 5) a lethal outcome develops .
Distinguish , Gematogenno-embolichesky, And Traumatic Ways Of Occurrence
Distinguish , gematogenno-embolichesky, and traumatic ways of occurrence of pulmonary abscesses and a gangrene. Bronholegochnyj way. One of the most frequent reasons - of occurrence of abscesses and a gangrene is infringement of passableness of the segmentary and share bronchial tubes, caused by hit in their gleam of the infected material from . At an - unconsciousness (owing to alcoholic intoxication, after operation-), at heavy infectious diseases function - bronchial tubes is broken, a reflex is suppressed and the infected material (food parts, a scale, a saliva) can be fixed in a bronchial tube so much time, how many is necessary for development and the inflammatory phenomena in a corresponding site of a lung. As a rule, abscesses in these cases are localised in back segments (II, VI) and more often in the right lung. Similar conditions arise at corking of a bronchial tube - by a tumour, a foreign matter, at narrowing of its gleam by a hem ( abscesses). Removal of a foreign matter and restoration of passableness of a bronchial tube in these cases quite often lead to fast treatment of the patient.
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