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carbuncles of the
face and neck
Furuncle- acute purulent-necrotic inflammation of the hair follicle, sebaceous
gland and the surrounding connective tissue.
- scalp
- alveary
Clinical picture of boil
• appearance of papules or redness portion with the appearance of pain, tingling
• for 1-2 days in place papules / redness and painful produce dense infiltrate round shape, the
center of which raised above the skin accumulates serous or purulent fluid. flushed skin over
the infiltrate, soldered to the underlying tissues
• blisters formed in the center portion and necrosis are distinguished purulent masses
• After emptying the hearth inflammation have subsided, the swelling and infiltration
decreases slowly dissolves residual infiltration
clinical picture carbuncle
• sharply painful infiltration, apply not only to all layers of the skin but also the
subcutaneous fat, the skin over the infiltrate has a blue-purple color, the
appearance of several necrotic "heads." Subsequently, in the central part
carbuncle occur softening and necrotic tissue rejection
- homeostasis correction
- metabolism correction
treatment
topical treatment of boils:
• antiseptic skin treatment (70% ethyl alcohol, salicyl alcohol, 2%) followed by the application of antiseptic dressings
• ultraviolet irradiation region boils in the initial stage of development, UHF, hypothermia, a helium-neon laser,
• after opening dressings furuncle with proteolytic enzymes, surface active agents, antibiotics in the form of
aerosols or gels
• necrectomy
• local dialysis
• in wound laid turundy with hypertonic sodium chloride solution, ointment Wisniewski,
streptomycin and emulsions sintomitsinovoy
Surgery
complications:
• lymphadenitis
• Particularly severe clinical course is typical of the furuncles upper lip angle of the mouth, nose,
podglaz-boundary area, the nasolabial triangle. Because of The possibilities of the occurrence of
severe complications: