A careful clinical approach is very important for etiologicai diagnosis. Classificacao ultra sonografica do derrame pleural e do epiema parapneumonico, radiol bras v. This is the most employed therapeutic modality owing to its high efficacy and low morbidity. Fidel camacho duran, md, carlos ernesto garavito, md. The pleura is the serous membrane that covers the lungs and the thoracic cavity. In spite of all the diagnosis methodology described above, in 510% of the cases the etiologic diagnosis of exudative pleural effusion cannot be reached. Clinical implications of appearance of pleural fluid at thoracentesis. Derrame pleural revision pdf articulos medicos basados en. Diagnostico y tratamiento del derrame pleural evidencias y. Ldh en liquido pleural 23 mayor a lo valores sericos 4. Analise do liquido pleural criterios alternativos twotest rule colesterol total do liquido pleural 45mgdl dhl do liquido pleural 45% do limite superior do soro threetest rule proteina do liquido pleural 2,9mgdl colesterol total do liquido pleural 45mgdl dhl do liquido pleural 45% do limite superior do soro. A dor provem do acometimento da pleura parietal, geralmente por processos inflamatorios, como nas pneumonias e na tuberculose pleural. Pleural revisao sistematica da literatura 2005 cirino l m t, neto m j f, tolosa e m c. Estomas 2 a 10um membrana semipermeable victoria villena garrido.
Aspecto do derrame pleural a aparencia do liquido pleural fornece informacoes uteis. Indice proteinas liquido pleural proteinas suero 0,5 3. Quadro clinico os sintomas decorrentes do derrame pleural sao. Other procedures that are mainly used in regular practice are percutaneous pleural biopsy and videothoracocospy. Pleural effusions liquid accumulation between visceral and parietal pleura are the. A pleural effusion is defined as an abnormal collection of fluid between the thin layers of tissue lining the lung and the wall of the chest cavity. Em outras palavras, o liquido pleural e liquido intersticial da microcirculacao sistemica pleural. Pleural fluid, pleural effusion, pyothorax, chylothorax, hemothorax. Pleural effusion in adults is a common syndrome due to various local and systemic diseases. Derrame pleural revision pdf articulos medicos basados. Derrame pleural revision sobre diagnostico y tratamiento. Turbidezdo liquido pleural pode ser causada tanto por hiperelularidade quanto por detritos ou ainda por um elevado nivel lipidico light, rw.
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