Differential diagnosis of lung abscess and empyema

summary

Generally, the difference between diseases is mostly determined by two comparisons. The occurrence of a disease is due to certain reasons, as well as the progress process. There are also related physical examination and auxiliary examination to make a diagnosis. After the diagnosis, the treatment plan is formulated and the treatment effect is evaluated. So what we are going to compare today are two common diseases in our respiratory system. These two diseases are lung abscess and empyema. Literally, these two diseases are the same. In fact, there are substantial differences between these two diseases. Let's take a look at the following.

Differential diagnosis of lung abscess and empyema

First, let's take a look at the locations and causes of these two diseases. Lung abscess is a purulent pathological change of lung tissue caused by pathogenic microorganism. The pathological change is lung tissue; Empyema is a purulent infectious disease caused by bacteria invading the pleural cavity, producing purulent exudate and accumulating in the pleural cavity. This lesion is located in the pleural cavity.

Second, let's look at the clinical manifestations of these two diseases. The clinical manifestations of lung abscess include chills, high fever, cough and a lot of purulent sputum; Empyema is generally prone to chest pain, cough, dyspnea, but if the two progress to a certain extent, there will be some of the same clinical symptoms, so we generally do not distinguish the two by clinical symptoms.

Third: finally, let's talk about the differences in their characteristic inspection. In general, X-ray of lung abscess will find a large area of thick inflammatory shadow in the lung field with signs of pus cavity and fluid level; In the X-ray of empyema, the pleural effusion sign or encapsulated pleural effusion will appear, and the gas-liquid level sign will appear when there is bronchopleural fistula.

matters needing attention

Generally speaking, lung abscess is to respiratory medicine, and empyema is to thoracic surgery. By comparing the difference between the two is to better develop the relevant treatment plan, if the disease can not be diagnosed according to the cause of onset and related clinical symptoms, then it can be distinguished by X-ray and other auxiliary examinations.