The thorax accumulates _'s general knowledge of clinical diagnosis of the liquid
Mean thorax what has been enclosed from diaphragm skin and thoracic cage always,pleura is from wall pleura of two layerses dirty there potential is each enclosed as around left and right sides two lung, include a few slurries in, play a lubricated role. We often say the thorax accumulate the liquid, actually the pleura accumulates liquid.
Normal people have 3- 15ml liquid in pleura, play a lubricated role while breathing sports, the intersection of pleura and accumulating the intersection of liquid and quantity, immobilizing in the. Even the normal people, the liquid that also have 500- 1000ml every 24 hours is taken shape and absorbed. Pleura of inner liquid absorb again since intravenous end of capillary, other liquid retrieve to blood from lymphocytic system, have strained and absorbed and is in dynamic equilibrium. If because whole body or some pathological change destroys this kind of dynamic equilibrium, cause the pleura a of inner liquid is formed too fast or absorption is too slow, produce the thorax clinically and accumulate the liquid (Pleural effusion, is abbreviated as the liquid of chest) .
The thorax accumulates the clinical diagnosis of the liquid:
When the thorax accumulates liquid quantity 0.3- 0.5L, the rarely seen rib diaphragm angle of X-ray is dull that the image is diagnosed; A more one accumulate liquid, reveal, have, accumulate the liquid shadow to outside, upward arcual upper flange. It is flat to accumulate the liquid and scatter while lying, make the wild bright degree of whole lung reduce. Have levels of liquid to accumulate the liquid at the time of liquid pneumothorax. Suffer from the intersection of side and dark entirely accumulate liquid in a large amount, mediastinal to push to and is good for the side. Accumulate often edge of liquid smooth and full, is confine sometimes the leaf to between lung and diaphragm, the supersound is checked to help to diagnose.
Exceeding can ascertain lump that the liquid of chest conceals, the localization of assisting the thorax to puncture. CT can point out judging in order to ooze out the liquid, blood or suppuration liquid on the basis of the density of the liquid of chest while checking, can still reveal mediastinal, shifting tumour in cover tumour and chest among lymph node, lung inner lump and pleura by the trachea. CT has higher sensitiveness and resolution ratio of density to check pleura pathological change. At the the intersection of detection and the intersection of X-ray and flat sheet different to reveal to accumulate liquid on a small quantity than to exchange.
The thorax accumulates the liquid, can be caused by many kinds of diseases, is directed primarily to having illness coming on originally on treating, leak liquid absorb by oneself after the cause of disease is corrected often, meet in exudative pleurisy more with tuberculosis, secondly it is inflammation and cancer pleurisy, should direct against its cause of disease, resist tuberculosis, resist inflammation etc. to treat, and the feasible thorax punctures and smokes the liquid. Its prognosis relates to having illness coming on originally, the prognosis due to tumour person is relatively bad.
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