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  • Chist Hidatic Pulmonar

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    1) Hidatidosis is a parasitic disease caused by the larval stage of Taenia Echinococcus infecting organs like the lungs, liver, and brain in humans. 2) Lung hydatid cysts can be single or multiple, unilateral or bilateral. Diagnosis involves imaging like CT scans and serological tests. 3) Treatment is exclusively surgical to remove the cyst intact or in pieces while treating the residual cavity to prevent recurrence. Post-operative complications can include pleural effusion, cavity infection, and secondary echinococcosis.

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    1) Hidatidosis is a parasitic disease caused by the larval stage of Taenia Echinococcus infecting organs like the lungs, liver, and brain in humans. 2) Lung hydatid cysts can be single or multiple, unilateral or bilateral. Diagnosis involves imaging like CT scans and serological tests. 3) Treatment is exclusively surgical to remove the cyst intact or in pieces while treating the residual cavity to prevent recurrence. Post-operative complications can include pleural effusion, cavity infection, and secondary echinococcosis.

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    86 views5 pages

    Chist Hidatic Pulmonar

    Uploaded by

    Anonim78
    1) Hidatidosis is a parasitic disease caused by the larval stage of Taenia Echinococcus infecting organs like the lungs, liver, and brain in humans. 2) Lung hydatid cysts can be single or multiple, unilateral or bilateral. Diagnosis involves imaging like CT scans and serological tests. 3) Treatment is exclusively surgical to remove the cyst intact or in pieces while treating the residual cavity to prevent recurrence. Post-operative complications can include pleural effusion, cavity infection, and secondary echinococcosis.

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    © All Rights Reserved
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    Chist Hidatic Pulmonar

    Generalitati
    Hidatidoza toracica localizarea chistului hidatic la nivelul
    toracelui: plaman, pleura, mediastin, diafragm, cord, perete
    toracic.
    Chistul hidatic se defineste ca o boala parazitara
    frecventa la animale si accidental la om prin dezvoltarea cu
    caracter tumoral a larvei de Taenia Echinococcus.
    Istoric:
    Cunoscuta din antichitate de la Hipocrate
    Clasificare:
    Clasificarea topografica:
    Pulmonara: unica / multipla, unilaterala / bilaterala
    Pleurala
    Mediastinala
    Diafragmatica
    Toraco-parietala
    Cardio-vasculara
    Parazitologie:
    Taenia echinococcus are 3 parti:
    Scolex sau cap
    Gat
    Strobila alcatuita din 3-4 segmente denumite proglote.
    Proglotele contin 400-800 de oua

    Taenia echinococcus se prezinta sub 2 forme:


    Stare adulta vierme in intestinul unor animale: caine, oi,
    lup, vulpe
    Stare larvara sub forma de chist hidatic in viscerele unor
    animale (gazde intermediare) si accidental la om
    CHISTUL HIDATIC e alcatuit din:
    Membrana externa compusa din chitina, elastica,
    albicioasa, permeabila pentru microbi
    Membrana germinativa granuloasa, captuseste pe
    interior membrana externa, contine stratul germinativ
    Lichidul hidatic incolor, inodor, gust sarat, salciu, ca apa
    de stanca
    Etiopatogenie:
    CHISTUL HIDATIC e alcatuit din:
    Membrana externa compusa din chitina, elastica,
    albicioasa, permeabila pentru microbi
    Membrana germinativa granuloasa, captuseste pe
    interior membrana externa, contine stratul germinativ
    Lichidul hidatic incolor, inodor, gust sarat, salciu, ca apa
    de stanca
    Anatomie patologica:
    I faza initiala: inocularediagnostic
    II faza de chist hidatic constituit: chist decelabil
    radiologic
    Perichistul e reactia organismului la corpul strain

    III faza de chist hidatic complicat: ruptura si evacuarea


    partiala sau totala

    Clinic:
    Simptomatologia depinde de:
    Topografie
    Volum
    Stadiul de evolutie: complicat/necomplicat
    Profesie
    Nivelul cultural si economico-social
    Politica sanitara
    Durere toracica
    Dispnee
    Tuse
    Hemoptizie
    Urticarie
    Vomica: patognomonic in ruperea chistului
    Diagnostic:
    Clinic:
    anamneza (simptome, profesie, domiciliu)
    examen clinic I.P.P.A.
    Paraclinic:
    Eozinofilia

    Intradermoreactia Cassoni = istoria medicinii


    Reactia ELISA
    Examen radiologic
    CT
    RMN
    bronhoscopie
    Pozitiv: CT
    Diferential:
    TBC pulmonar
    Tumori bronhopulmonare: benigne/maligne
    Malformatii congenitale bronhopulmonare
    Anevrism de aorta
    Anevrisme arterio-venoase intrapulmonare
    Pleurezii inchistate intrascizurale
    Chist hidatic hepatic
    Tumori mediastinale
    Tratament:
    Tratamentul chisturilor hidatice necomplicate sau complicate
    este exclusiv chirurgical.
    Obiectivele tratamentului:
    1 - extragerea chistului
    2 - tratamentul lojei chistului
    Procedee chirurgicale:

    Prin punctie
    Prin extragerea intacta a chistului +/- rezectie pulmonara
    Procedee endoscopice
    Procedee toracoscopice
    Complicatii postoperatorii:
    Empiem pleural
    Supuratia lojei chistului
    Hemoragia secundara
    Echinococoza secundara

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