Sunday, February 17, 2013

One of morbidity mechanisms that stores up liquid of the pleura and _'s general knowledge of cause of disease

One of morbidity mechanisms that stores up liquid of the pleura and _'s general knowledge of cause of disease
First, thorax accumulate the liquid and have illness coming on in the mechanism
1.Pleura the intersection of capillary and quiet water pressure increase the intersection of pleura and the intersection of capillary and quiet water pressure it increases to be to form thorax accumulate the important factor of liquid. It is congestive to be in heart failure, contract for instance narrow can last systemic circulation the diseases such as pericarditises,etc.s and ( Or) That lung circulates still water ' The medical education network is collected and put in order) Press and increase, the liquid of thorax is oozed out and increased, form the thorax and accumulate the liquid. The venous pressure of the simple systemic circulation increases, such as when the superior vena cava or azygos vein is blocked, the oozing out amount of the one storey of pleuras liquid of the wall exceeds the ability that the dirty storey of pleuras absorbs, can produce the thorax and accumulate the liquid. It belong to and leak more liquid that this kind of thorax accumulates the liquid.
2.Penetrating increase of pleura capillary The pleura is inflammatory ' Tuberculosis, pneumonia involve the pleura) ,Connective tissue disease ( Systemic lupus erythematosus,etc.) ,Pleura tumour ( The malignant tumour pleura shifts, a cover tumour) ,Pulmonary embolism diaphragm down inflammation disease ' The diaphragm plays abscess, liver abscess, acute pancreatitis) When involve pleura, can make the intersection of pleura and the intersection of capillary and penetrating the intersection of and increase, cell, albumen, liquid,etc. permeate the intersection of pleura and through in a large amount in the capillary; Chest protein content raise and the intersection of chest and the intersection of liquid and colloid permeate, pigeonhole, rise, further promote the liquid of thorax to increase in the liquid. This kind of thorax accumulates the liquid in order to ooze out the liquid.
3.The colloid permeates and presses and lowers nephropathy and syndrome in the pleura capillary, low the intersection of albumen and the intersection of blood and disease, liver cirrhosis, acute the intersection of glomerulus and nephritis and mucus edema disease have plasma albumin that is reduced, blood plasma colloid permeate, press, reduce, wall layers of the intersection of pleura and capillary liquid ooze out, increase and dirty layers of the intersection of pleura and the intersection of capillary and liquid colloid permeate and press to drop too, so the dirty layer of pleuras is absorbed and reduced again. Cause the thorax to accumulate the liquid and increase finally, this kind of thorax accumulates the liquid in order to leak of liquid.
4.Lymphocytic reflux obstacle of one storey of pleuras of wall Wall one layer of pleuras lymphocytic reflux ' The medical education network is collected and put in order) Play an important role in aspiration in the liquid of chest again, especially protein sucks. The cancer lymphatic vessel is blocked, the inborn abnormal development causes the lymphatic vessel to guide unusually, lymphocytic reflux blockage due to traumatism,etc. can cause the thorax enriched with albumen to ooze out the liquid.
5.The damaging thorax accumulates the liquid Traumatism ( If the esophagus breaks, chest conduit break-up) Or disease ( If main aneurysm of the chest breaks) Wait for the reason, courage and uprightness, suppuration (infect) appear in the thorax , the chyle thorax accumulates the liquid, belong to and ooze out the liquid.
Second, main cause of disease
1.Leak liquid Congestive and in heart failure ' The right heart is depleted or depleted whole-heartedly) ; The superior vena cava is blocked; Draw back narrow pericarditis; Liver cirrhosis; Nephropathy and syndrome; Acute glomerulus nephritis; Dialyse the peritoneum; Mucus edema; Drug allergy; Radiate and react.
2.Ooze out the liquid
( 1) Slurry: Infective disease, including tuberculosis pleurisy, bacterial pneumonia (including infecting under the diaphragm) , virus infect and fungi nature infection and parasite infect; Malignant tumour, leather tumour (medical education network collect, put in order) under pleura Various tumours are shifted to the pleura, have lung cancer, breast cancer and lymphoma the most commonly; Pulmonary embolism; Disease of connective tissue includes the granulation is swollen,etc.; Pneumothorax; Meigs syndrome; After the thoracic operation.
( 2) Empyema: Tuberculosis empyema; It causes empyema that the lung is infected with; Traumatism, esophagus punch and pneumothorax, thorax puncture skill carry on, take place suppurative infection.
( 3) Hemothorax: Malignant tumour includes cover tumour and pleura transformation tumour among the pleura; Traumatism; Blood pneumothorax ( It is torn that related including glueing) ; Main aneurysm of the chest breaks; It is postoperative for coronary artery to put up a bridge; Pulmonary embolism.
( 4) Chyle chest: Traumatism causes the chest conduit to break; Filariasis; The cancer cell causes the chest conduit to block.
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