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How to distinguish between pulmonary bullae and pyopneumothorax

Published: 2024-11-24 Author: mysheen
Last Updated: 2024/11/24, Pulmonary vesicles have made a lot of communication and sharing in front of them, but pulmonary vesicles, pulmonary abscesses and pulmonary cysts do not appear in front of people intuitively, and their symptoms are very similar, even with X-ray or.

Pulmonary vesicles have made a lot of communication and sharing in front of them, and they are already familiar with them, but pulmonary vesicles, pulmonary abscesses and pulmonary cysts do not appear directly in front of people, and their symptoms are very similar. Even with X-ray radiography or CT scanning, within a certain period of time or with different maturity of the inspectors, they are often misdiagnosed. Therefore, more detection methods are needed, and the accurate diagnosis can be made after comprehensive data analysis.

Pulmonary vesicle

For example, for patients with pyopneumothorax, thoracic puncture, the extraction of pus for the total number of white blood cells, neutrophils increase, whether there are toxic particles and other further determination, the diagnosis of pyopneumothorax is very important. For example, if neutropenia appears in the extracted pus, combined with the total number of white blood cells, it can be determined whether it is purulent pneumothorax. If toxic particles are also found in the pus examination, it shows that pyopneumothorax is already very serious.

After being diagnosed as purulent pneumothorax, direct smear examination of pleural effusion and bacterial culture are needed to determine the specific pathogenic bacteria or viruses. The most common is Staphylococcus aureus causing purulent pneumothorax, followed by Legionella, mycoplasma, Klebsiella, pneumococci and so on. In terms of symptoms, there are often dyspnea, pleural effusion or gas accumulation, widening of intercostal space, displacement of mediastinal, trachea and heart dullness boundary to the opposite side in X-ray radiography and listening to Jane. And the affected side of a large area of dense shadow, a large area of voiced sound, respiratory sound significantly decreased and so on.

Purulent pneumothorax

The symptoms of pulmonary vesicles and purulent pneumothorax can also obtain certain accuracy if they have certain professional knowledge, and general patients should seek medical treatment in time. If it is a serious pneumothorax such as high pressure pneumothorax (tension pneumothorax) formed or appeared after the operation, it has already been listed as a medical emergency, and serious respiratory and circulatory disorders will occur. Even if you continue to draw air, the pressure will rise again soon. It can be said that severe hypoxia or shock is not uncommon.

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