2016년 11월 20일 일요일

Edema of the lungs

Edema of the lungs

Edema of the lungs
PulmEdema.PNG
A classification and outside reference information
ICD-10 J81
ICD-9-CM 514
DiseasesDB 11017
MedlinePlus 000140
eMedicine med/1955 radio/581
MeSH D011654

The edema of the lungs (はいすいしゅ, pulmonary edema) means the state that the real (the bronchus, alveolus) water of the lungs bleeds, and collected. Breathing is affected by the water which collected and falls into respiratory failure.

Table of contents

Summary

Capillary for gas exchange runs to the lungs innumerably. I supply oxygen and nutrition to neighboring cells by originally there being a small hole in capillary, and water (plasma) in blood bleeding outside blood vessel, and perfusing it and collect a waste material. It is in a normal state, and the quantity to return matches with quantity to bleed, but when quantity that balance collapses for some kind of causes and bleeds exceeds it, in the circumference of the cell, it is for the submergence, and water collects to an alveolus and the bronchus before long. This state is edema of the lungs.

Cause

There are external cause characteristics to assume intrinsicalness and an injury caused by the heart problem a cause in mechanism to become the edema of the lungs mainly.

Three causes are thought about in intrinsicalness.

  1. Rise of the blood vessel internal pressure
    The internal pressure of the capillary rises and is in condition that water is pushed outside. It is caused by left heart failure or mitral stenosis.
  2. Drop of the plasma colloid osmotic pressure
    A state not to be able to keep water in blood vessel by protein (albumin) in blood decreasing, and to flow out outside blood vessel. It is caused by cirrhosis or nephrotic syndrome.
  3. Sthenia of the blood vessel permeability
    A vascular wall becomes cheap through water, and blood vessel is in condition to leak outside. It is caused by severe pneumonia.

There are many inhalation and electric shock of the poisonous gas, severe injuries exogenously.

  1. Thing with the chemical munitions such as an asphyxiant, the sore agent
  2. Electric shock, heart failure due to the severe injury, thing by the damage of the capillary of the lungs
  3. Drug, heating absorption of the stimulant, absorption of hydrogen phosphide, thing due to acute allergy with the thiazide system (thiazide system) diuretic drug

Symptom

Laboratory findings

  • A foam-related rale is heard in the whole examination by a stethoscope - lung field.
  • Permeability of the whole chest X-ray roentgenogram - lung field decreases and becomes pure white. Water collects between lobes of the lung, and a mass shadow called vanishing tumor is seen. When I am complicated with heart failure, expansion of the heart shadow is seen.

Treatment

With the treatment of the cause disease, treatment to draw the water which collected to the lungs is necessary.

  • A symptomatic treatment of oxygen dosage - respiratory failure.
  • I draw out water from the lungs by giving water of diuretic drug - body as urine forcibly.
  • I improve cardiotonic - heart failure.

Allied item

Outside link

This article is taken from the Japanese Wikipedia Edema of the lungs

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