He aha ka ka hāpana Ruvilua-Gregoire?

Ma ke ao nei, aia nō he nui helu o nā maʻi, e pili ana i na kanaka mai,ʻaʻole i hāʻupu aʻe. Akā, he mea hihia ia oe wale pono e ike e pili ana i na symptoms o ka huʻi kanaka e e hiki ke koke hoomakaukau mua kōkua i ka hoʻomanawanui. Akā, ia mea i mau he maʻi nui paha pathology hiki ke nānā 'visually, akā, i loko o keia hihia, e hele mai i ke kōkua o ke kālā no PalekanaEND_LINK i kūpono, no ka laʻana, e like me hāpana Ruvilua-Gregoire. Akā, mahalo i keia hāpana hiki ke nānā ', a me ia mea mea nui no ka Ikepili?

Laʻana Ruvilua-Gregoire: aha ka ia?

Kēia hoʻokolokolo '- keia mea i kekahi o na ki ina hana like o kaʻike,, hiki loa koke ike ai i ko intrapleural kahe ana ke koko paha,ʻaʻole i hemothorax. Maikaʻi ho'āʻo Ruvilua-Gregoire mai nei i ke kahe ana ke koko mau i loko o ka pleura, a me ka hopena maikaʻi maopopo o kona holo ana, a ina ia mea, akā,ʻaʻole i hana.

Akā, i ka hemothorax, pehea e pono ia, i ka hopena o ka inaction i loko o kēia hoomanawanui ka kulana?

Hemothorax: He aha ka mea?

Hemothorax - ke kahe ana ke koko e ia lŘlŘ i loko o ka pleura, a hiki aku i ka mea i ka mea accumulates he nui ka nui o ke koko, i ultimately ua pu ma ka mīkini'opihia o ke akemāmā. Laʻana Ruvilua-Gregoire e leie aku me ka hikiwawe e loaa ana i ka hoʻoholo 'ana i ke alo o ke kahe ana ke koko a me kona pinepine'. Ma waho aʻeo ka lapaʻau 'ana, koko poho hiki ke' ike 'ia e symptoms:

• umauma eha;
• haahaa puʻe;
• pōniuniu;
• paleʻili a me na mea e ae.

Inā ka hoʻomanawanui haawi aku i na hoike ana, e pono e holo ai i ka haukapila e hana i kaʻike, a me ka lawe a pau ana e hooki i ka kahe ana ke koko. Akā, i ke kāhea hemothorax?

pathology hookomo ana i

ʻike, o ka hemothorax i e pono ai nā mea maʻi i loaa umauma trauma, i oluolu i ka pathologies, a iatrogenic kumu o ke kahe ana ke koko.

Ma lalo o kauka nā palapū Komo poho i ka thorax o nāʻano likeʻole. Hemothorax e hoʻomōhala i ka hopena o ke kalepa he ulia pakalaki, gunshot palapu, pepe iwi, he haule mai ka kiekie nui, a me nā aʻe.

Oia nā palapū hiki i poino ole wale na ia maʻiʻaʻai, akā, 'ē aʻe nā loko:

• naau;
• ake;
• spleen;
• ka diaphragm;
• intercostal moku;
• thoracic artery;
• ia maʻiʻaʻai.

Hemothorax a hiki i ka maʻi ahulau i loko o ka hoomanawanui, e like me:

• aortic aneurysm;
• tuberculosis;
• malignancy i loko o ka akemāmā paha pleural;
• akemāmā abscess;
• hemorrhagic diathesis;
• coagulopathy, a me na mea e ae.

Iatrogenic aʻe alakai i ka hemothorax (e hoʻoholo kona alo, e Laʻana Ruvilua-Gregoire) hōʻike complications ma hope oʻoki kino ma ka akemāmā a pleura, pleural nōkahea, i hoʻokomo 'o ka catheter i loko o ke kikowaena aa koko.

pathogenesis hemothorax

hoʻomāhuahua ana o ke koko i loko o ka pleura hiki i mīkini'opihia o ka akemāmā, a me ka pohupani hale o na nā loko, i hiki aku ai i me ka nui loa hoemi naehana ili o ke akemāmā, ma laila nō kāna hana o ka ÷ naehana hanu a me ka hemodynamic. No keia kumu, hemothorax pinepine e hoʻomōhala ana i lapaʻau ka hōʻike o ka hemorrhagic a me ka cardio-pulmonary kŰia e hiki aku ai i ka naau a me ka ÷ naehana hanu'ōnaehana mai i ka hana pono.

Ma ka hora mua ma hope o ke koko la i loko o ka pleura, i ka la mahope e hoʻomōhala ana i ka hoʻoʻino kaʻina. I ka hemothorax kōkua oholo kona hāpana Ruvilua-Gregoire (akaka edema, leukocytic infiltration, wīwī a exfoliated mesothelial aeee). No ka mea manawa mua hoalii mai ia i loko o ka wahi o ka pleural koko ma kahe ana ke koko ka i okoa mai kaʻike ākea koko, a me ka hope hoemiia hemoglobin pae, i ka 'inideka o erythrocytes a me leukocytes.

I ka injected i loko o ka pleura, koko clots, akā, ma hope o ka pōkole manawa hoʻomaka i ke kaʻina hana o ka fibrinolysis, ma muli o ia i ka mea, liquefies hou. Kēia kaʻina ka poʻea pau i anticoagulant aʻe. He nui na papa o ka hemothorax. He aha e, a me ka mea i ka likeʻole ma waena o lākou?

papa hemothorax

Mākou i mua i olelo ia hemothorax hiki e traumatic, pathological a me ka iatrogenic. Eia hou, e lawe i loko no o ka ikaika o kona kahe ana ke koko, a ua māheleʻia i loko o kekahi mau papa:

• liʻiliʻi - he mea hoʻomāhuahua ana o ke koko i loko o ka sinus, a me ke koko poho mea i oi aku mamua o 500 ml;
• meakino - koko ua haule iho ai i ka kiʻekiʻe o ka iwiaoao 4, a me kona leo mea e pili ana kekahi, a me ka hapalua o nā lika;
• subtotal - koko ua haule iho ia i ka haʻahaʻa kiʻekiʻe haloʻole 2, a me ka nui o ke koko poho mea e pili ana i nā nā lika;
• huina o - ma ka m-Ray noticeably uhi i ma ka pio o ka pleura, a me ke koko poho Ua oi ma mua o ka uhane o nā lika.

Eia kekahi, hemothorax, i kokua ho oholo i ka hāpana Ruvilua-Gregoire a me nā PalekanaEND_LINK ano hiki e apical, interlobar, parakostalnym, supradiaphragmatic, paramediastinalnym, a pau hilinaʻi nui ma luna o ka IIeEeAIEUAA. ¶ A i loko o ia hihia, ina ke kahe ana ke koko mau, hemothorax kapaia e holumua ai, a ina mea ua pani - hale lio. Inā ka pleura i ka mea ia manawa uhi ole wale nō ke koko, akā, i ka lewa, ma keia hihia mākou e kamaʻilio e pili ana i gemopnevmotorakse. Akā, i symptoms ke hōʻike hemothorax?

na hoailona o ka hemothorax

Ka lapaʻau kiʻi hilinaʻi nui 'ana ma luna o ka nui o ke kahe ana ke koko, paopaoia akemāmā'aʻaʻa a me nā loko hoʻololi. Small hemothorax hiki ole e ukali ma symptoms,ʻano nui ka hoʻomanawanui complains o ka umauma eha, i hiki ke exacerbated ka wā me ka puʻu, a me ka pokole o ka hanu i kānāwai.

Akā, i ka waena a me ka kiʻekiʻe papa, i hiki ke hookupaa iho la ia i ka hoʻohana 'ana hāpana Ruvilua-Gregoire, pu ma naehana kāna hana, mea'ōnaehana mānowai koko kāna hana, a me na mea e ae. symptoms ka mea, i kaulana i ka wahi pono, aole e hana, no ka mea, e hiki ke loaa loa ka eha i maoli he me me ka puʻu, nawaliwali ma ke kino a pau, hoemiia ke koko. Me ka uuku physical hoounauna a pau o na symptoms i ano hoomainoino. Ke hoomanawanui e koho i kaʻoluʻoluʻoihana - e noho ana a me ka hapalua o-noho ana.

Akā, ma ka loa hemothorax he mea he nawaliwali, a 'aʻole i' ae i ke ala, kaʻona, hoʻomōhala tachycardia, ili haikea, ma mua o nā maka flit nalo, pinepine ana syncope. Akā,ʻaʻole e mau ana symptoms ke ho onoho ana i ka hemothorax, no laila ia mea e pono ai e ike i kekahi kauka, nana no e koho i ka helu o nā haʻawina, me hāpana a me Ruvilua-Gregoire. At hemothorax - kēia mea o ka maikaʻi ano, i loko o ka pōkole manawa, e hōʻike i ke alo a kaawale o ke kahe ana ke koko.

lapaʻau '

Ma pololeiʻike, Kauka hoʻomōakaaka a pau nā lāliʻi o ka maʻi, e hookohuia e na kino a me nā ano o ka hookolokolo, a me keʻena hoʻokolohua. At hemothorax koke e hooponoponoia ia mea, ina paha he mea kekahi lag o kaʻaoʻao maikaʻiʻole ia ma loko o ka naehana neʻe, ina paha ua hoopaa hoi i percussion kani ma luna o ka wahi, kahi a ke ohi wai, hoʻonāwaliwali ina hanu mea he quavers.

Umauma m-Ray hōʻike kollabirovanie malamalama, i ke alo o ka loli (hoomanawanui i loko o ka papamoeʻoihana ma ka ao) a clots i loko o ka pleura. I mea e möakäka hou i kaʻike, a me kaʻike, hiki ke lanakila pleural puncture i hemothorax, ma keia hihia loaa koko keʻae i kaʻike,. E hoʻomaopopo sterile, a mailoko o hemothorax e Eia kekahi laʻana Petrova a me Efendiyev, a Loiloi i ka mäliko, a me ka precipitate aspirate.

Keʻena hoʻokolohua koko e ho'āʻo ai e ho oholo i ka helu ana o leukocytes a me erythrocytes. Ua hiki ke hana pū, a me nā PalekanaEND_LINK i kūpono e like me ultrasound, X-kukuna, umauma HI, PalekanaEND_LINK thoracoscopy.

E apono 'oe, e hoakaka i ka hāpana?

E hōʻoia i ka kahe ana ke koko mau, a me ia mea i mua pani, pono ole ke hana i kaili wale ia, e hoʻomaka ia i ke ao me ka hāpana Ruvilua-Gregoire. PalekanaEND_LINK ano o keia ano komo ai ke koko mea hōʻikeʻikeʻuʻuku o ka pleura, a laila, e nana i ka mea. Inā ka mea, ua huliʻia ma ka hōʻike şarkı a 'ohe, ka mea,' o ia hoʻi i ke kahe ana ke koko mau, a ina coagulation mea ma kahi'ē, a laila,ʻaʻohe. A laila, i nā Eia kekahi laʻana hoouna mai ai i ke keʻena hoʻokolohua no ka hou 'ana, a me ka mea, ua, ua hooholo mua ana i ka nui o ka hemoglobin.

Maikaʻi ho'āʻo Ruvilua-Gregoire - he anakahi no ka pilikia thoracotomy, a e kōkua pau ana i ke kahe ana ke koko. Kēia informative PalekanaEND_LINK iaoia, akā, e mea maikaʻi, e lawe mai no hoi ia a me nā ana, e eʻoiaʻiʻo i 100% ma kaʻike,. Akā, pehea e hana hoao?

Na Huaolelo pa puncture ma hemothorax

Hana hōʻike e wale ia he palapala hōʻoia no kauka, no ka mea, i kēia study ka loa eiiieaena, a ina e hoopaa i ke koko hāpana mea hewa, ka mea hiki e hiki hou ino i ka hoʻomanawanui. Puncture i hemothorax - he hanana ano o kaʻike,, i ua lawe mai ma waena o na iwi aoao 6 a me 7 i ka meakino a me zadnepodmyshechnoy laina. Ma keia wahi, i ke ahonui e ia i loko o ka noho kūlana. Koko ua hoouna mai ai i ke ao lāʻau lawelawe antibacterial pāʻoihana.

makeʻe kulana Inc

Makeʻe kulana lapaʻau kōkua ina haemothorax mehana, ma i hihia analgesics a me hemostatic konohiki. I maikai ia hope Inc me ka manaʻo koko transfusion, ina haemothorax lōpū a hoi loa. No ka iapaau ana o ka maʻiʻaʻai HT ka lawelaweia ana fibrinolytic konohiki, ka mea, i kekahi hōʻike no ka Kāohiʻana a me ka Inc o coagulated hemothorax, a ua hiki nō ke hoʻohana 'immunocorrecting a me symptomatic lapaʻau.

Small hemothorax loa koke, a me ka hopena hiki ke eliminated e makeʻe kulana ano o ka nohoʻana. Akā, i loko o ia hihia, ina hōʻike i ka hou-nana i ka maikaʻi ho'āʻo Ruvilua-Gregoire, laila, iʻoki kino hiki ole ke hana.

ʻoki lāʻau lapaʻau lapaʻau o hemothorax

ʻoki kino ua hōʻike i ka hoʻomanawanui i loko o ia hihia.

• Inā kahe ana ke kokoʻana i loko o pleura;
• haemothorax pii a kāohi 'ia paha hoʻonui i ka akemāmā;
• ina he ua, ua hou-hoʻomāhuahua o ke koko ma hope o ka lawe ana i ka puncture;
• koko hele ma ke koho pleural nōkahea, a me kona leo mea e pili ana 500 ML no 2-3 hola;
• poino nui nā loko.

hemothorax lapaʻau ua muli ma luna o nā hiʻona o ka etiological aʻe o ke kahe ana ke koko a me ka oolea o ke hemorrhagic kŰia. Open penetrating poino i ka akemāmā a me nā nā loko o ka pahu e noi mai ana ka manaʻoʻoki lāʻau lapaʻau 'uao i ka kāʻei kua o ka hulina Anati-kŰia Inc, a mai nā' ole wale 'inikua analgesia, akā, aumeume no hoi me ka huʻi anaemia, a hypoxia.

Hana mea pono no ia hana:

• pau ana i ke kahe ana ke koko;
• hoʻopau poino i na nā loko;
• wehe i ka liki ole i ke koko;
• e kau nōkahea no ka hōʻeleu i wehewehe ana o ka akemāmā;
• no ka hoʻopulapula o ka pleural lua me antiseptics.

Akā, i Time] hāʻawi kauka i ka hoʻomanawanuiʻana i akaaka maluʻoki kino ma ka hemothorax i lawe mai?

I ka olelo wanana a me ka Kāohiʻana o ka hemothorax

I ka pomaikai o ka iapaau ana no ka hemothorax hilinaʻi nui ma luna o ke ano o ka ino a me ka ahulau, kahe ana ke koko pinepine 'a me ka' eleu kōkua i hoakakaia. Maikaʻi prognosis no nā mea maʻi me ka mehana a lōpū hemothorax. Clotted hemothorax ke hooweliweli i ka hooulu ana o pleural empyema, akā, hoomau iho la oia kahe ana ke koko a me ka hookahi nui kahe o ke koko ke alakai i ka make.

Ke no o ka hemothorax i e papakaukau ho okumu o pleural adhesions i ka hopena ma ke kaupalenaʻana i ka ka hoʻoneʻe o ka diaphragm. Ma keia hihia, ka mea, ua waiho ia a pau nā mea maʻi i i i ka moku'āina eʻau, a hana hanu kino mau.

Kāohi hemothorax i nā aʻoaʻo o ka hewa a hiki i ka pahu, nīnau aku i ke kauka nā mea maʻi me ka thoracoabdominal trauma, hooponopono o ka hemostasis iʻoki kino ma luna o nā maʻiʻaʻai a me ka mediastinum.

ka hopena

E hōʻuluʻulu manaʻo, ua hiki ke olelo aku i ka hāpana Ruvilua-Gregoire - o kekahi o nā haʻawinaʻano nui ma hemothorax. Kahe ana ke koko i loko o ka pleural wahi - he mea nui ana e pono ka manaʻo kōkua i ke kauka. Ia mea ke kumu ma ka symptoms mua paha koke ma hope o ka trauma mea pono e imi palapala hōʻoia no kōkua, a me nā aupuni i paha e ona.