Qhov Tseem Ceeb - Pleural Effusion vs Pneumonia
Pleural effusion thiab pneumonia yog ob yam mob uas cuam tshuam rau peb txoj kev ua pa. Pleural effusion yog ib qho teeb meem ntawm ntau yam kab mob uas ncaj qha lossis tsis ncaj qha cuam tshuam rau cov hlab ntsws thiab lub ntsws parenchyma thaum mob ntsws yog ib qho mob uas tuaj yeem ua rau muaj kev tawm pleural. Qhov no yog qhov sib txawv tseem ceeb ntawm ob qho no. Kev kho mob pleural effusion tuaj yeem txhais tau tias yog cov kua dej ntau dhau hauv qhov chaw pleural hu ua pleural effusion. Ntawm qhov tod tes, pneumonia tuaj yeem txhais tau tias yog kev cuam tshuam ntawm lub ntsws parenchyma los ntawm cov kab mob.
Pleural Effusion yog dab tsi?
Ib qho dej ntau dhau ntawm qhov chaw pleural hu ua pleural effusion. Tus mob no tuaj yeem txheeb xyuas los ntawm lub hauv siab x-ray yog tias cov kua dej ntau dua 300ml. Tab sis kev txheeb xyuas kev txheeb xyuas ntawm pleural effusion tsuas yog ua tau thaum cov kua dej ntau dua 500ml.
Kev hloov pauv Pleural Effusion
Pleural effusions ntawm hom transudate tuaj yeem ua ob sab tab sis cov kua dej ntau ntxiv nyob rau sab xis dua li sab laug.
yam ntxwv ntawm Transudate Pleural Effusion
- Cov ntsiab lus protein tsawg dua 30 g / l
- Lactic dehydrogenase qib qis dua 200 IU / L
- Cov kua dej rau cov ntshav LDH piv tsawg dua 0.6
Caus
- Lub plawv tsis ua hauj lwm
- YHypoproteinemia
- Cov kab mob pericarditis
- YHypothyroidism
- Ovarian hlav tsim txoj cai sab xis pleural effusion
Exudate Pleural Effusion
Exudate pleural effusions muaj cov yam ntxwv hauv qab no
- Cov ntsiab lus protein ntau dua 30 g / l
- Lactic dehydrogenase qib ntau dua 200 IU/L
Caus
- Kab mob ntsws
- Pulmonary infarction
- Bronchial carcinoma
- TB
- Autoimmune rheumatic disease
- Post-myocardial infarction syndrome
- mob pancreatitis
- Mesothelioma
- Sarcoidosis
Tshuaj Kho Mob
- Dyspnea
- hnoos qhuav
- Orthopnea
- mob plab
- Yog muaj tus kab mob, tuaj yeem muaj lwm yam tsos mob xws li ua npaws
- Hemoptysis
Diagnosis
Lub hauv siab xoo hluav taws xob tau noj tam sim ntawd thaum tus neeg mob nthuav qhia cov tsos mob ntawm pleural effusion. Thaum X-ray lees paub qhov chaw kho mob tsis txaus ntseeg ntawm pleural effusion, ib qho ultrasound-guided pleural aspiration yog nqa tawm.
Daim duab 01: Pleural Effusion
Kev kho mob
Kev kho mob ntawm pleural effusion sib txawv nrog cov kab mob hauv qab.
Pneumonia yog dab tsi?
Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus kab mob (feem ntau yog cov kab mob) evokes exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary hu ua pneumonia.
Kev faib tawm ntawm mob ntsws yog nyob ntawm ntau yam.
- Raws li tus neeg sawv cev ua rau
- Raws li kev faib tawm tag nrho ntawm tus kabmob
- Raws li qhov chaw uas mob ntsws tau kis
- Raws li qhov xwm txheej ntawm tus tswv teb cov lus teb
Y Kab mob, kab mob, fungal
YLobar Pneumonia, Bronchopneumonia
zej zog tau txais, tsev kho mob tau txais
Suppurative, fibrinous
Pathogenesis
Lub ntsws ib txwm tsis muaj kab mob ua rau muaj kab mob lossis tshuaj. Cov kab mob ua pa muaj ntau yam kev tiv thaiv los tiv thaiv kev nkag mus ntawm cov kab mob no.
- Nasal clearance – particles deposited in front of the airway on the non-ciliated epithelium is nquag tshem tawm los ntawm txham lossis hnoos. Cov khoom uas muab tso rau tom qab raug cheb hla thiab yuav nqos.
- Tracheobronchial clearance- qhov no yog nrog los ntawm mucociliary action
- Alveolar clearance- phagocytosis los ntawm alveolar macrophages.
Mob ntsws tuaj yeem tshwm sim thaum twg cov kev tiv thaiv no tsis zoo lossis tus tswv tsev tsis kam txo. Cov yam ntxwv xws li cov kab mob ntev, kev tiv thaiv kab mob thiab kev siv tshuaj tiv thaiv kab mob, leukopenia, thiab kab mob kis kab mob cuam tshuam rau tus tswv tsev tiv thaiv ua rau tus tswv tsev muaj peev xwm kis tau cov kab mob zoo li no.
Lub tshuab tshem tawm tuaj yeem raug puas tsuaj ntau txoj hauv kev,
- Txhob hnoos reflex thiab txham reflex
- Kev raug mob rau mucociliary apparatus
- Kev cuam tshuam nrog phagocytic action
- Pulmonary congestion thiab edema
- Kev sib sau ntawm cov qog pulmonary hauv cov xwm txheej xws li cystic fibrosis thiab bronchial obstruction.
Secondary to coma, anesthesia or neuromuscular disease
Kev haus luam yeeb ntev yog qhov laj thawj tseem ceeb rau kev puas tsuaj ntawm cov mucociliary apparatus
Bronchopneumonia
Staphylococci, Streptococci, Pneumococci, Haemophilus, thiab Pseudomonasauregenosa yog cov kab mob tseem ceeb.
Morphology
Foci ntawm bronchopneumonia yog cov chaw sib koom ua ke ntawm kev mob suppurative mob. Kev sib sau ua ke tuaj yeem ua rau thaj tsam ntawm ib lub lobe tab sis feem ntau yog multilobar thiab feem ntau ob sab.
Lobar Pneumonia
cov kab mob tseem ceeb yog pneumococci, klebsiella, staphylococci, streptococci
Morphology
Plaub theem ntawm cov lus teb inflammatory tau piav qhia.
Lub ntsws hnyav, boggy, thiab liab. Cov theem no yog tus cwj pwm los ntawm vascular engorgement, intra -alveolar kua nrog ob peb neutrophils, thiab feem ntau muaj cov kab mob ntau.
Red hepatization
Congestion yog ua raws li cov kab mob siab liab uas yog tus cwj pwm los ntawm kev sib xyaw ua ke loj heev nrog cov hlwb liab, neutrophils, thiab fibrin sau cov chaw alveolar.
Grey hepatization
Nyob rau theem grey hepatization vim yog qhov kev tawg zuj zus ntawm cov qe ntshav liab uas tau sau rau hauv qhov chaw alveolar, lub ntsws xav tias muaj xim grey. Qhov no greyish tsos yog txhim kho los ntawm lub xub ntiag ntawm fibrinosuppurative exudate.
Resolution
Thaum lub sijhawm kawg ntawm kev tsim cov kab mob, cov exudate sib sau ua ke hauv cov chaw alveolar tau dhau los ua cov txheej txheem zom zaub mov kom tsim cov pob zeb ib nrab ntawm cov kua dej uas tau rov ua dua thiab noj los ntawm macrophages lossis hnoos.
Kev nyuaj siab
- Abscess - vim yog cov ntaub so ntswg puas thiab necrosis
- Empyema- vim yog kis kab mob kis mus rau hauv kab noj hniav pleural
- Organization
- Kev tawm mus rau hauv cov hlab ntsha.
Daim duab 02: Pneumonia
Tshuaj Kho Mob
- Dyspnea
- Cov hnoos qeev
- mob plab
- Pleural kev sib txhuam rub
- fwb
Dab tsi yog qhov zoo sib xws ntawm Pleural Effusion thiab Pneumonia?
ob leeg yog kab mob ntawm lub ntsws
Qhov txawv ntawm Pleural Effusion thiab Pneumonia yog dab tsi?
Pleural Effusion vs Pneumonia |
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| Cov kua dej ntau dhau ntawm qhov chaw pleural yog hu ua pleural effusion. | Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob - ua rau tus neeg sawv cev (feem ntau yog cov kab mob) evokes exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary hu ua pneumonia. |
| Nature | |
| Pleural effusion yog ib qho teeb meem ntawm ntau yam kab mob. | Pneumonia tuaj yeem ua rau pleural effusion. |
|
Caus ntawm transudate hom pleural effusions · Lub plawv tsis ua hauj lwm · Hypoproteinemia · Constrictive pericarditis · Hypothyroidism · Cov qog zes qe menyuam tsim txoj cai sab xis pleural effusion Ua rau exudate hom pleural effusions · Kab mob ntsws ntsws · Pulmonary infarction · Bronchial carcinoma · TB · autoimmune rheumatic kab mob · Post-myocardial infarction syndrome · Mob pancreatitis · Mesothelioma · Sarcoidosis |
mob ntsws yog vim muaj kab mob ntsws parenchyma feem ntau los ntawm cov kab mob. |
| kho mob nta | |
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kho mob nta ntawm pleural effusion yog, · Dyspnea · hnoos qhuav · Orthopnea · mob plab · Yog tias muaj kab mob, tuaj yeem muaj lwm yam tsos mob xws li ua npaws · Hemoptysis |
Cov yam ntxwv ntawm Pneumonia yog, · mob kub taub hau · Dyspnea · mob hnoos · mob plab · Pleural kev sib txhuam rub · Effusion |
| Identification | |
| Lub hauv siab xoo hluav taws xob tau noj tam sim ntawd thaum tus neeg mob nthuav qhia cov tsos mob ntawm pleural effusion. Thaum X-ray lees paub qhov chaw kho mob tsis txaus ntseeg ntawm pleural effusion, ib qho ultrasound-guided pleural aspiration yog nqa tawm. | kab lis kev cai ntawm hnoos qeev yog siv rau kev txheeb xyuas tus neeg sawv cev. |
| Kev kho mob | |
| Kev kho mob ntawm pleural effusion sib txawv nrog cov kab mob hauv qab. | Tshuaj tua kab mob yog siv los kho cov kab mob ntsws. |
Summary – Pleural Effusion vs Pneumonia
Kev cuam tshuam ntawm lub ntsws parenchyma los ntawm tus kab mob ua rau tus neeg sawv cev (feem ntau yog cov kab mob) evokes exudative solidification ntawm (sib sau ua ke) ntawm cov ntaub so ntswg pulmonary hu ua mob ntsws. Pneumonia tuaj yeem cuam tshuam los ntawm kev sib sau ntawm cov kua dej hauv qhov chaw pleural uas hu ua mob ntsws.
Download the PDF Version of Pleural Effusion vs Pneumonia
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Pleural Effusion thiab Pneumonia
