Inflammation of the pleura, in which accumulates in the pleural cavity fluid, called exudative pleurisy.Exudative pleurisy is divided into types based on the nature of the fluid: bloody, purulent, chylous, seroplastic and mixed.If the fluid in the pleura is non-inflammatory in nature and origin is unknown, it is called pleural effusion.
In its etiology pleural effusion similar to dry pleurisy, characterized in that it often gets its development in pancreatitis, cirrhosis or liver cancer, subdiaphragmatic processes and accompanies some systemic diseases.The essence of the disease is that the inflammation in the pleural disorders causes vascular permeability, thereby increasing the pressure within the vessels, the collagen layer varies visceral pleura.In a subsequent step inferolateral exudate accumulates in the pleural cavity sections because a suction negative pressure therein increases.Over time, the liquid compresses the lung, reducing its lightness, further shifting the mediastinum toward t
- 1 symptoms of exudative pleurisy
- 2 Causes of exudative pleurisy
- 3 treatment of exudative pleurisy
symptoms of exudative pleurisy
develops the disease or acute, and at the same time accompanied by a strong increase in body temperature, dry painful cough, and stabbing pains in the chest nature, or gradually.The survey shows that the patient is experiencing shortness of breath and cyanosis, the patient is forced to try to lie down on the patient side of the chest observed lag during breathing on the affected side.During examination by palpation of the chest there quavers in the affected side, and percussion is observed mute percussion sound.In addition to these symptoms the patient feels a sense of tightness in the chest, and he observed cardiac abnormalities.
Causes of exudative pleurisy
Causes of exudative pleurisy can be a variety of factors.This may be a transudate, that is, the fluid that accumulates in the tissues and body cavities due to the fact that their function is a violation.This happens in diseases such as liver cirrhosis, Meigs' syndrome, kidney and liver in severe form.Transudate accumulates in tissues and organs, for example, in the abdominal cavity.When it comes to exudate, then the inflammatory exudate, that is bloody, serous, fibrinous and purulent fluid.Can accumulate exudate in the pleural cavity with collagen diseases, as a consequence of medication as a consequence of non-infectious inflammation.It may also be of chylothorax when accumulates in the pleural cavity lymphatic fluid as a result of trauma or malignancy.
treatment of exudative pleurisy
Depending on the cause of the fluid accumulation, treatment begins with the treatment of the disease itself.If fluid builds up too much, the doctor makes a puncture of the pleural cavity.Liquid is pumped in a small volume, but in exceptional cases produced suction fluid volume more liters - while squeezing the liquid accumulated mediastinal organs, which leads to the fact that the patient begins to choke.Puncture facilitates the patient's condition, but at the same time greatly reduces the protein, resulting in the patient experiencing fatigue.Once a disease caused by the accumulation of fluid in the pleural cavity, is cured, an accumulation of fluid stops.
self-medication for suspected pleural effusion in any case inadmissible.If the patient is felt in the chest pain, feeling of tightness, difficulty breathing if he is, he should immediately consult a doctor.
doctor determines the illness at the time of percussion and auscultation, and to clarify the diagnosis carried puncture fluid in the pleural cavity.The resulting liquid is analyzed and the analysis results on the basis of available information to determine a course of treatment.In severe cases, you may need a biopsy of the pleura or thoracoscopy.Often the presence of excess liquid can be determined through X-ray or ultrasound, and also during imaging.
almost all cases, this disease occurs, accompanied by pain, since the accumulating fluid compresses the organs of the mediastinum, lungs, and deforms the chest, which is why there is shortness of breath.Treatment of the disease should be mandatory and timely as neglected pleural effusion can be extremely dangerous for the life of the patient.In itself, fluid accumulation in the pleural cavity indicates the presence of serious disease.
In any case, treatment of exudative pleurisy will depend on what the underlying disease provoked him: so if pleural effusion caused by tuberculosis, the treatment will involve tuberculostatic drugs and metapnevmaticheskie parapnevmaticheskie pleurisy and treated with antibiotic therapy.Lupus and rheumatoid pleurisy pleurisy requires the introduction of glucocorticoids.When it comes to purulent pleurisy, it is necessary to keep the evacuation of purulent foci, and in the pleural cavity are introduced antibiotics.Treatment of such a pleurisy carried out only in a specialized department of thoracic.
For all types of pleurisy patient is required to prescribe anti-inflammatory drugs such as indomethacin and derivatives pirozolona and salicylates.Additionally, patients are shown desensitizing agents, antitussives and analgesics.Puncture evacuating fluid is shown in those cases where the cause massive effusions mediastinal shift and, consequently, the symptoms of cardiopulmonary failure.
As soon as the exudate starts to dissolve, the patient is recommended to further restorative treatment, as well as breathing exercises and physical therapy, unless contraindicated.