What is a lung gangrene? What are the symptoms of the lung gangrene? How to diagnose and treatment of lung gangrenes? Answers to these questions you will find in the article.
Content
Gangrena lung
This disease is a progressive necrotic decay of lung parenchyma without clear boundaries under the influence of anaerobic infection.
Most often, the pathogens of the lung gangrene are anaerobic microbes that fall into lightweight aerogenic, hematogenous ways or from neighboring organs (for example, with cancer infected by the diverticulus, esophagus burns). The predisposing role of weakening the protective properties of the body due to various long-term diseases (diabetes, alcoholism, etc.).
In the light, the plots of rotten damage of dirty green color are determined, cavity does not have clear boundaries. With a microscopic examination, leukocyte infiltration is noted, fibrinous impregnation of alveolar partitions, their swelling and loss of structurality.
Symptoms and diagnostics of lung gangrenes
Abscess and gangrena have a number of general features at their beginning (high temperature, chills, pouring sweat and t. D.), but the course of gangrene occurs with a more pronounced symptomatology, soon acquiring specific features.
First of all, the condition of the patient is progressively deteriorated; It highlights a slicer dirty-brown color of a wet (sharp disgusting smell of rotten tooth), which contains a large number of diverse microbes, elastic fibers, purulent cells, rejected liquid acid crystals.
When standing, it is clearly divided into 3 layers:
- Upper - mucoby-purulent frothy;
- Medium - serous;
Nizhny - sedimentary, it is a tricky mass with particles of destroyed pulmonary fabric, Datrich's corks (characteristic of lung-forming gangrenes), a variety of bacteria.
In microscopic examination, the sputum is not visible elastic fibers (in contrast to the sputum in the lung abscess, when they are detected), as they dissolve the enzymes of microbes causing gangrene.
When percussion over the lesion area, the dullness of the pulmonary sound is determined. Disturbed solubyliber wet wives.
In blood tests - pronounced neutrophilic leukocytosis, an increase in ESO, anemia.
With an x-ray study, almost the same changes are found as with an X-ray picture of the lung abscess.
Forecast and treatment of lung gangrenes
Forecast is serious. Urgent hospitalization and powerful comprehensive treatment.
Conservative therapy is similar to the treatment of lung abscess. When it is unsuccessful, surgical treatment is carried out: the drainage of the gangrenous cavity, collapse therapy, lobectomy, and, if necessary, even pulmonectomy.
