aseptic costochondritis
Introduction
Introduction to aseptic costal cartilage Aseptic costal cartilage inflammation is a non-specific, non-suppurative costal cartilage inflammatory disease, which is more common in clinic. The main clinical manifestation was localized pain in costal cartilage. If the pain area is swollen, it is called Tietze disease. Tietze first reported the disease in 1921, so it was called Tietze disease. Aseptic costal cartilage inflammation is more common in young people and more women. There was a history of respiratory infection before the onset, and the lesions invaded the single costal cartilage. The affected costal cartilage was enlarged and the local tenderness was obvious, but there was no red hot sign of the epidermis when the bacteria were infected. basic knowledge The proportion of illness: 0.021% Susceptible people: no specific population Mode of infection: non-infectious Complications: aspiration pneumonia abscess
Cause
Causes of aseptic costochondritis
Virus infection (30%):
Most patients have a history of upper respiratory tract infection before onset, and some scholars believe that it may be related to viral infection. The upper respiratory tract infection is referred to as the upper sense, also known as the common cold. It is a general term for acute inflammation of the nose, throat or throat. The general sense is not a disease diagnosis, but a group of diseases, including the common cold, viral pharyngitis, laryngitis, herpetic angina, pharyngeal conjunctival fever, bacterial pharyngeal-tocalitis.
Costal cartilage dystrophy (25%):
May be related to endocrine abnormalities caused by costal cartilage dystrophy, so it is also called dystrophic costal cartilage atrophy. In normal life, endocrine abnormalities may be caused by gynecological diseases.
Chronic strain of the thoracic ligament ligament (30%):
May be associated with chronic strain of the thoracic and ligament joint ligament. The histological examination of the costal cartilage is normal, but the development is relatively large, and some people also call it costal cartilage hyperplasia.
Prevention
Aseptic costal cartilage prevention
1. Regularly open the window to keep the indoor air fresh, and participate in sports activities to enhance your resistance. Avoid colds when the weather turns cold.
2. Always keep warm to prevent cold. Do not undress immediately when your body is sweating to protect yourself from the wind.
3. Usually eat more nutritious food, which can also enhance the patient's resistance.
Complication
Sterile costal cartilage complications Complications, aspiration pneumonia abscess
1. Pulmonary complications are common complications after operation. In particular, patients with general anesthesia have more respiratory secretions. After the patient wakes up, the cough reflex has not fully recovered. He can not effectively exclude respiratory secretions, which can lead to lungs such as aspiration pneumonia. complication. Therefore, for those who are more sputum and cough, the sterile suction tube should be used in time to remove the secretions in the oral cavity and airway to prevent the occurrence of pulmonary complications.
2, because the patient does not dare to take a deep breath, cough due to chest pain, easy to cause lung infection. Soft tissue necrosis can form an abscess, and the abscess can form a sinus. There are often obvious symptoms of systemic infection. The disease is prone to recurrence, and the cause of recurrence is an underestimation of the disease coverage and inappropriate resection. Therefore, the scope of surgical resection is the key to preventing recurrence.
Symptom
Aseptic celiac disease symptoms Common symptoms Chest tightness Hernia chest tightness 2nd costal cartilage pain
Sterile costal cartilage inflammation is more common in young people, more women, more than a history of respiratory infection before the onset, lesions often invade a single costal cartilage, affected rib cartilage swelling, local tenderness is obvious, but no epidermal red when bacterial infection Heat syndrome, occasionally multiple roots and bilateral involvement, the occurrence of more than 2 to 4 costal cartilage beside the sternum, the second most costal cartilage is the most common, complaining of local pain, increased activity, duration varies, 3 to 4 weeks After that, they can disappear on their own, but they often recur, and they are delayed for several months or even years. The lighter only feels mild chest tightness does not affect normal work. In severe cases, the shoulders and arms move, or even the half body.
Examine
Aseptic celiacitis examination
X-ray examination showed no abnormal changes, but it can be used to exclude costal cartilage malignant tumors and other lesions. X-ray diagnostic technology is widely used in medicine, such as X-ray, radiography, angiography, interventional therapy, tomography, CT (computerized tomography), etc., almost all organ diseases can be used. To X-ray diagnostic technology.
Diagnosis
Diagnosis and diagnosis of aseptic costal cartilage
Young women, recently had a history of respiratory infections, 2 to 4 rib cartilage swelling around the sternum, local tenderness, no abnormal changes in X-ray examination, diagnosis is not difficult.
Due to local swelling, swelling and pain, it should be differentiated from costal cartilage tumor, chest wall tuberculosis, and osteophyte formation after fracture.
Chest wall tuberculosis is a rib, sternum, and chest wall soft tissue tuberculosis secondary to pulmonary or pleural tuberculosis infection. It is a common chest wall disease. The disease is common in young and middle-aged people aged 20 to 40, with more males. The lesion occurs in the third to seventh ribs between the breast and the posterior tibial line. Clinical manifestations of cold abscess or chronic sinus, often secondary to tuberculosis in the lung, pleura or mediastinum, is only a local manifestation of tuberculosis. Most patients have no obvious symptoms, or have tuberculosis infections, such as low fever, night sweats, weakness, and localized pain.
