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Semiologie Pulmonar - Curs 2

Semiologie Pulmonar - Curs 2

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Published by Emilia Adrianna

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Published by: Emilia Adrianna on Apr 30, 2012
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11/29/2012

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Universitatea de Medicin
ă şi Farmacie
 
Gr. T. Popa
 
Iaşi
 
Facultatea de Medicină
 
Semiologie Medicala
Curs
Prof. Univ. Dr. George Ioan Pandele
 
1. SINDROAME DE CONDENSARE PULMONARA
 Definitie:
entitati patologice realizate prin pierderea continutului aeric alveolar intr-unanumit teritoriu si inlocuire prin:- exsudat inflamator - transsudat- tesut tumoral - sange- tesut de origine parazitara - remanierea structurilor interstitiale, alveolare- colapsul peretilor alveolari
 Tipuri de sindroame de condensare (caracteristici clinice)
- neretractila
(bronhie permeabila)
 - retractila
 Examenul radiologic
- condensare neretractila
: bloc net delimitat de scizuri, opacitate omogena, triunghiulara,cu varful la hil si baza la periferie, nu atrage diafragmul si mediastinul
 - condensare retractila
: opacitate triunghiulara, teritoriu retractat, diminuarea sp. i.c. ,aspiratia scizurii orizontale, atractia traheei si a mediastinului, ascensiunea diafragmului
 Examenul radiologic dinamic
 - opacitatea neretractila
: amplifica contrastul imaginii in raport cu restul parenchimului,nu modifica sp. i.c. si nu atrage mediastinul si diafragmul in inspir
 - opacitatea retractila
: in inspir atrage traheea, cordul, mediastinul si diafragmul

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