Chist Hidatic 1lp22
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CHISTUL HIDATIC PULMONAR
-ECHINOCOCCUS GRANULOSUS -FRECVENT IN BAZINUL MEDITERANEAN (ZONE CU OI ,CAINI, LUPI) ► GAZDA PRIMARA (DEFINITIVA) –=CANIDE -INGERA CHIST -- PARAZIT ADULT IN INTESTIN -EVACUEAZA PROGLOTE CU OUA ► GAZDA INTERMEDIARA INGERA OUA (IARBA, APA CONTAMINATE) -ELIBEREAZA EMBRION HEXACANT -INTESTIN - FICAT - PLAMAN -DIAGNOSTIC CLINIC ► LOCALIZARE ► DIMENSIUNI ► TUSE SEACA, IRITATIVA ► SPUTA HEMOPTOICA ► JENA – PRESIUNE - DURERE ► RUPTURA IN CAI AERIENE - CHINTE DE TUSE - EXPECTORATIE ABUNDENTA CU LICHID SARAT, MUCUS - FRAGMENTE HIDATICE (“COJI DE STRUGURI”) - MANIFESTARI ALERGICE – RASH, BRONHOSPASM, DISPNEE - ASFIXIE (OBSTRUCTIE PRIN MATERIAL HIDATIC) ► RUPTURA IN PLEURA LIBERA TABLOU DRAMATIC: DURERE INTENSA TUSE PERSISTENTA
DISPNEE SEVERA CIANOZA SOC ASFIXIE (EDEM) OBLIGATORIU: ECHO / CT ABDOMINAL POSIBILE DETERMINARI HEPATICE SAU CU ALTA LOCALIZARE TRATAMENT ► MEDICAL: ALBENDAZOL/MEBENDAZOL ► CHIRURGICAL: - EXCIZIA COMPLETA A CHISTULUI - CONSERVAREA PARENCHIMULUI PULMONAR - REZOLVAREA CAVITATII RESTANTE ► CHISTECTOMIE FARA PUNCTIE SAU ► CHISTECTOMIE DUPA PUNCTIE SI INACTIVARE CU SER HIPERTON (solutie NaCl 10 %) ► SUTURA FISTULELOR BRONSICE ► DESFIINTAREA CAVITATII RESTANTE PRIN CAPITONAJ ► LOBECTOMIE DACA: - CH > 50% LOB - SUPURATII SEVERE REFRACTARE AB - CH MULTIPLE UNILOBARE - SECHELE
-ECHINOCOCCUS GRANULOSUS -FRECVENT IN BAZINUL MEDITERANEAN (ZONE CU OI ,CAINI, LUPI) ► GAZDA PRIMARA (DEFINITIVA) –=CANIDE -INGERA CHIST -- PARAZIT ADULT IN INTESTIN -EVACUEAZA PROGLOTE CU OUA ► GAZDA INTERMEDIARA INGERA OUA (IARBA, APA CONTAMINATE) -ELIBEREAZA EMBRION HEXACANT -INTESTIN - FICAT - PLAMAN -DIAGNOSTIC CLINIC ► LOCALIZARE ► DIMENSIUNI ► TUSE SEACA, IRITATIVA ► SPUTA HEMOPTOICA ► JENA – PRESIUNE - DURERE ► RUPTURA IN CAI AERIENE - CHINTE DE TUSE - EXPECTORATIE ABUNDENTA CU LICHID SARAT, MUCUS - FRAGMENTE HIDATICE (“COJI DE STRUGURI”) - MANIFESTARI ALERGICE – RASH, BRONHOSPASM, DISPNEE - ASFIXIE (OBSTRUCTIE PRIN MATERIAL HIDATIC) ► RUPTURA IN PLEURA LIBERA TABLOU DRAMATIC: DURERE INTENSA TUSE PERSISTENTA
DISPNEE SEVERA CIANOZA SOC ASFIXIE (EDEM) OBLIGATORIU: ECHO / CT ABDOMINAL POSIBILE DETERMINARI HEPATICE SAU CU ALTA LOCALIZARE TRATAMENT ► MEDICAL: ALBENDAZOL/MEBENDAZOL ► CHIRURGICAL: - EXCIZIA COMPLETA A CHISTULUI - CONSERVAREA PARENCHIMULUI PULMONAR - REZOLVAREA CAVITATII RESTANTE ► CHISTECTOMIE FARA PUNCTIE SAU ► CHISTECTOMIE DUPA PUNCTIE SI INACTIVARE CU SER HIPERTON (solutie NaCl 10 %) ► SUTURA FISTULELOR BRONSICE ► DESFIINTAREA CAVITATII RESTANTE PRIN CAPITONAJ ► LOBECTOMIE DACA: - CH > 50% LOB - SUPURATII SEVERE REFRACTARE AB - CH MULTIPLE UNILOBARE - SECHELE
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