Causes and treatment of peripheral edema Causes and methods of treatment of...

Causes and treatment of peripheral edema Causes and methods of treatment of subcutaneous emphysema Subcutaneous emphysema is a secondary pathology. Incorrectness is accompanied by the accumulation of air bubbles in the subcutaneous layer. The atmosphere seeps into the subcutaneous fat discharge from the respiratory and digestive system. Usually subcutaneous emphysema shows for the presence of severe lung, trachea, food tract and other organs filled with air.

Prerequisites

An air cushion in the subcutaneous tissues appears in such cases: Lack of bronchi, trachea, lung. Aperture of the esophageal tube or stomach. Perforation of the food tract. Hole of the lung because of a broken rib. Penetrating wound of the large joint. The deepest piercing concussion for the sternum, loosely letting the atmosphere into the tissue and preventing its outflow; Trauma of the mediastinal pleura. The air masses freely pass from the mediastinum into the pleural cavity. Simultaneous lack of lung and parietal pleura. Inhalation of toxic volatile substances. Injuries to airway channels. The disease provokes anaerobic contagious diseases, Ludwig's angina. With all this, it accompanies gas gangrene or phlegmon. Pathology can exist as a consequence of acquired bronchitis or artificial ventilation of the lungs, often develops in smokers. The disease occurs later laparoscopy. To be such a surgical intervention it causes the injection of carbon dioxide into the abdominal cavity. The gas bubbles fall into the subcutaneous fat tissue in the shoulder girdle, neck, face.

Pneumothorax

Pneumothorax is a frequent source of the formation of an air cushion in the subcutaneous layer. This pathology occurs later: If the lung is injured, the pleura is ruptured, allowing the gases to be understood in the peri-pulmonary place. Being filled with a cavity near the lungs, a closed pneumothorax is formed. The loss of air leads to the loss of the lung. In this state, the tool does not malfunction with the performance of the functions assigned to it. With each breath, an additional quantity of air masses is injected into the peri-pulmonary place. The burden in the cavity of the pleura grows. Enhanced pneumothorax develops. To be ruptured by the outer shell of the pleura air masses are squeezed out into the sternum tissue. Air bubbles penetrate into the subcutaneous discharge, raise epithelial tissues, inflate them in the localization area, which leads to subcutaneous emphysema. Gases start to accumulate in the chest cavity. Near the pressure, the air masses rise upward, seizing the neck and head, descending downward, drawing in the pathological action the abdominal cavity, inguinal edge and legs.

Symptomatics

The following are common signs of the disease: complicated breathing; swelling for the cervix; pain in the sternum to be breathing; soreness in the throat to be swallowed; swollen skin without symptoms of inflammation. If the pathology is triggered by pneumothorax, the air cushion is released above the surface of the epithelium. Being swollen as a disease swelling immediately increases and diverges according to the body. The patient's appearance changes beyond recognition. He has a violent rhythm.If subcutaneous emphysema of the thorax secures the cervix, a person's voice changes, cyanosis of the skin of the face appears. Breath from the defeat weakens. Being palpated patient does not feel any discomfort. However, to be pressing for the air cushion a special tone is heard, similar to crunching snow. In a neglected state, the tissues adjacent to the sternum swell well. The swelling is perfectly visible to be viewed visually. Air cushion is formed in practically all patients on one side. Barrel enlargement of the sternum appears. Sometimes the pain is accompanied by a rapid pulse, an excessive drop in blood pressure.

Dangerous disease

The air pillow, even if it is wide, does not make life dangerous. The swelling indicates for a lack of any internal organ. The atmosphere from subcutaneous fat absorbs without reason without therapeutic treatment. The pillow falls in the course of several days. However, the appearance of subcutaneous emphysema should be verified in a book that an open flaw is not accompanied by anaerobic infection. It is proud to exclude interstitial gassing caused by gangrene or phlegmon. The life-threatening appearance appears to be an instantaneous escalating emphysema of the thoracic cage. The atmosphere is injected first into the subcutaneous discharge, then into the deep tissues of the neck. From there, the gas seeps into the mediastinum cells, which leads to squeezing of organs and the development of an insecure for the life of the mediastinal syndrome. The patient needs critical medical help. If it is not rendered, the patient dies through asphyxia, acute cardiac and respiratory deficiency. Then the relief of the premise that triggered the emergence of subcutaneous emphysema, the air cushion instantly subsides without giving complications.

Ways of healing

Removing the symptoms and the root causes of subcutaneous emphysema is the main task of therapy. To be timely treatment of a pathological phenomenon vividly disappears without leaving complications. The general well-being of the patient is stabilized with the help of pharmaceutical therapy. An unhealthy person is prescribed: analgeziruyuschie property; cardiovascular drugs; oxygen inhalations; medicines; antitussives. Pneumothorax is relieved by the method of puncture aspiration. The patient is injected with a needle into the pleural cavity and the atmosphere is released through it. Then the gas escapes, the burden falls, and the easy spreads. If the action has not given a subtle effect, and the gas continues to be injected into the peri-pulmonary place, make a sealed drainage of the pleural cavity or active aspiration. The atmosphere is removed by means of electrovacuum devices. Through the valve pneumothorax (saturated gas pumping into the breast cavity) they are disposed of, forcing it into an open form. For this purpose, the soul is pierced. Gas descends through the through hole, the intracavitary burden falls, the lung restores the anatomical shape. A wide air cushion is introduced into the individual zones. In order for the atmosphere to come out, the skin is slowly stroking. If the prerequisite of the disease was an open piercing concussion, do the operation. As the root cause, leading to the deposition of air, is eliminated, the pillow disappears without cause for 24-48 hours. The atmosphere seeps into the subcutaneous layers of being unsafe diseases. Self-treatment of subcutaneous emphysema is unacceptable. Without the help of a doctor, an air cushion can not be released. The initiated emphysema leads to a fatal ending.