If you feel pain in your chest when you breathe, it is usually a symptom of infection or inflammation, such as lung infection, pleurisy, costochondritis, etc. To confirm the diagnosis, you need to go to the hospital for a detailed examination. Chest inflammation needs treatment as soon as possible. If it is delayed until the late stage of inflammation, it is easy to cause secondary infection and endanger life. The following editor will give a detailed introduction to costochondritis, hoping it will be useful to readers. Introduction Overview Costal chondritis, also known as Tieze disease or Tieze syndrome, painful non-suppurative swelling of the costal cartilage, sternal cartilage pain, and chondrodysplasia, is a common disease, which is divided into nonspecific costochondritis and infectious costochondritis. The most common clinical condition is nonspecific costochondritis, which accounts for more than 95% of outpatient visits. It is a nonspecific, non-suppurative inflammation of the costal cartilage. It is a non-suppurative costochondritis lesion of unknown cause occurring at the junction of the costal cartilage and the sternum, and is a self-limiting disease characterized by localized pain and swelling. It is more common in adults aged 25 to 35 years old, mostly women, with a male to female ratio of 1:9. Elderly people also get sick. It often occurs at the junction of the 2nd to 5th costal cartilages. It is usually multiple and can be seen beside one side of the sternum, or symmetrical on both sides. In single cases, the 2nd costal cartilage is common. Infectious costochondritis, also known as suppurative costochondritis, is a rare surgical infection. treat Nonspecific costochondritis Costochondritis is generally treated only symptomatically, such as taking analgesics, hot compresses, physical therapy, or local procaine blockade. Systemic or topical administration of corticosteroids may also help relieve symptoms. Erythromycin and morphine can be taken in the acute phase. Give antiviral drugs such as Virulin. Alternatively, you can use hormones such as prednisone or dexamethasone. For those with severe pain, 5 ml of lidocaine plus dexamethasone can be directly injected into the painful area, and local blockade can be performed with novocaine and prednisolone. If the pain fails to be relieved by long-term drug treatment, affects the patient's mood and work, or local malignant tumors cannot be ruled out, costal cartilage resection may be considered. Infectious costochondritis Perform conservative treatment first, use targeted antibiotics to effectively control infection and provide symptomatic analgesia. When the above methods are ineffective, surgical treatment is required. |
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