Pus inflammation

Pus inflammation's disease overview

pleural purulent inflammation is an inflammation and stasis in the pleural cavity. This may be a real pus, but sometimes it is opaque or light brown but always contains polygamy white blood cells, the basic ingredient of pus.

Before 1990, 10% of pleural purulent inflammation due to complications from pneumonia. This ratio decreases in the era of antibiotics. The tendon is indicated that the treatment of open chest opened more, complications of pleural inflammation after surgery increased and accounted for a significant proportion.

Based on the body lesions, dividing pleural inflammation into spread and localized. Based on the clinical pathological progress divided into acute and chronic. Based on the cause of the diseases, the division is primary and secondary. Nguyen Phat pleural inflammation is derived from infections directly from medical and pneumonia. Secondary pleural purulence includes all surgical origins.

If not diagnosed and treated early, pleural inflammation will evolve badly or leave severe sequelae for patients and cause difficulties for treatment.

Causes of Pus inflammation's disease

Causes of pleural inflammation may occur in the following cases:

Tien Phat pleural purulence (rare): After lung penetration.

Secondary pleurisy:

  • Lung diseases such as pneumonia, pulmonary apxe, bronchodilator, superinfection lung cancer, etc.

    • Medium ventricular diseases: antidote, esophageal leaks, medium lymph nodes.

  • Breast diseases: ribs, breast apxe, ...
  • Diseases under the diaphragm and abdominal cavity: apxe under the diaphragm, liver apxe, peritonitis, ...
  • Systemic disease: Blood infection.

    • Pus inflammation due to superinfection after chest intervention surgery or after wounds and chest injury causing blood spills of pleural cavity.

  • infected with the front of the cervical spine.
  • Holes from bronchial pucker after pulmonary cutting.
  • During the pleural pleural tease process, non -bacterial technical.
  • The esophagus broken

    • Bacteria that cause pleural inflammation: Staphylococcus aureus, streptococcus, pneumococcal, Gram -negative bacteria such as Pseudomonas, Klebsiella Pneumoniae, Escherichia Coli, Aerobacter Aerogenes, Proteus, Bacteroides , Salmonella ... In addition, it also has pleural inflammation caused by tuberculosis bacteria, which is studied separately due to its special properties of pathology and treatment.

    Symptoms of Pus inflammation's disease

    symptoms of pleural inflammation appear as follows:

    Acute pleural purulent inflammation : It is difficult to determine the onset of time because it often appears after other diseases of the body. Toan Phat Phase can be seen:

  • Chest pain, shortness of breath, dry cough ...
  • Infection, poisoning syndrome: frantic and severe.

    • Syndrome 3 decreased due to pleural spills.

    X -ray is shaped like pleural cavity.

    semi -acute and chronic pleural inflammation: usually appears after about 2 months if not treated properly and positively.

  • Patients with chest pain, shortness of breath.

    • Syndrome of infection, toxicity: not as frantic as in the acute phase but the whole condition of patients is often severe exhaustion.

  • Syndrome 3 decreased mainly due to thick pleural cavity.
  • X.:

    • Thick shapes with pleural cavity: The ribs are down, the intercostal slots narrow, the trachea and the mediastinum are pulled to the side of the lesion, the spine is scoliosis With the concave direction towards the pleural pus.

    Sedimentation cavity: usually located in the lower and back of the pleural cavity (it can be seen that the water level of water in the sediment compartment, or in some cases, can pump contrast drugs into the residue compartment for shooting).

    People at risk for Pus inflammation's disease

  • Pus inflammation usually occurs in immunodeficiency.

    • Patients with chronic diseases such as cancer, cirrhosis, diabetes, esophagus.

    People with disorders of the central nervous system lead to inhalation of substances in the mouth-to-lung area.

  • In patients with chronic respiratory failure.
  • Purmen inflammation also occurs in alcoholic, exhausted.  
  • Diseases more in men than in women.

    • Children with infections in pleura, lungs, abdominal cavity, chest walls, blood infections, etc. are susceptible to pleural inflammation in children .

    Prevention of Pus inflammation's disease

  • To prevent the disease should wear moderate clothes to not feel too hot or too cold.
  • Wash your hands regularly with soap, wear a mask ... so as not to spread the disease to other members around.
  • People need to have a sense of general hygiene, preventing cross -infected phenomenon right in the same family.
  • Patients with good treatment of inflammatory diseases.
  • Do not smoke, pipe tobacco.
  • Daily, pay attention to a rich, diverse, nutritious diet, rich in vitamin C to increase resistance.

    • Diagnostic measures for Pus inflammation's disease

    Diagnostic criteria:

    Clinical

  • Fever, shortness of breath, localized chest pain.
  • Decreased 3 syndrome, 3 decreased syndrome such as one side of the chest, shortness of breath, dry cough or phlegm.

    • Subclinical

  • Blood formula: Increased leukocytes, multi -neutral people are the main.
  • Pleural fluid: biochemistry, cells, fresh examination, gram dyeing, transplanting and antibiotics
  • Blood implant.
    • rang, ultrasound and chest scan Determine diagnosis: Based on
  • Infection syndrome
  • Lung examination with 3 decrease syndrome

    • chest x: blurred the angle of the diaphragm, faded in the lower half of the lungs or faded the entire lung, the mediastinum is pushed.

  • Pleural suction: Concentrated or opaque ingredients are mainly multi -core cells, refreshing with bacteria or positive pus.
  • CT chest scan: Pus bag in pleural incubation disease changes in the shape of the chest

    • Pus inflammation's disease treatments

    The regimen Treatment of pleural inflammation

    Principle of treating pleural inflammation:
  • Clean the pleural cavity.
  • Support treatment.

    • Symptomatic treatment. Antibiotic treatment:

    with Gram (+) bacteria group: Staphylococcus, pneumococcal, ...

  • Combining Beta-Lactam and Aminoside groups: Cloxacillin (200 mg/kg/24h/vein) + Amikacin (15mg/kg/24h/intramuscular) or Oxacillin (200mg/kg/24h /vein) + Amikacin (15mg/kg/24h/intramuscular).
  • Patients in bacterial infections: Vancomycin 40 - 60mg/kg/24h. Slow veins + amikacin (15mg/kg/24h/intramuscular).

    • With Gram (-) bacteria group:

  • ceftazidim (100 - 150mg/kg/24h/vein) + Amikacin (15mg/kg/24h/intramuscular) or cefoperazone (100-150mg/kg/24h/vein) + Amikacin (15mg/kg/24h/intramuscular).

    • or treatment according to antibiotic results if any:

    Antibiotic treatment time ≥ 4 weeks.

    Measures to clean pus in the pleural cavity
  • Pleural suction: Applicable to all patients to diagnose the cause and support treatment. Biochemical, cell, fresh, culture. Pus removal reduces shortness of breath when the amount of pleural fluid causes more compression.
  • Open the sealed pleura: X -ray has 3 intercostal compartments. There is a wall phenomenon but the amount of fluid is large, opening the drainage cavity while waiting for surgery. The average drainage time is 5 - 7 days, withdrawing the drainage pipe when the amount of suction fluid <30ml/ day.
  • Pleural removal surgery and latex sediments when: antibiotic treatment and drainage after 7 days without results. The whole body is worse. Persistent respiratory failure. There are images of latex sediment on X -ray and ultrasound films. There is a phenomenon of gas leakage - waste (indicated for emergency surgery) Early pleural removal surgery and early pus sediment helps reduce the treatment time and minimize complications of the disease.
    • Support treatment, symptomatic treatment
  • Using oxygen therapy (when needed).
  • Use compensation therapy, alkaline balance.
  • Control the amount of blood albumin.
  • Ensuring diet, energy, improving physical condition: for patients to eat well, protein, blood transfusion, vitamins.

    • Patients to practice breathing to restore the elasticity of the lung parenchyma and make the lungs bloom.

    See also:

  • How to treat pleural effusion? >
  • Overview of common diseases in the lungs

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