PLEURA SI CAVITATEA PLEURALA

PLEURA SI CAVITATEA PLEURALA

A. Afectiuni pulmonare primare:1. Tuberculoza;2. Reumatism articular acut;3. Afectiuni virale: virus Coxsackie B;4. Maligne (mezoteliom).

B. Secundara:1. Afectiuni pulmonare: pneumonia, tuberculoza, abces

pulmonar sau infarct pulmonar;2. Afectiuni mediastinale: pericardita, mediastinita ,

neoplazii;3. afectiuni subdiafragmatice: abces subfrenic.

PLEUREZIA USCATA ETIOLOGIE

PLEUREZIA LICHIDIANA

• EXUDAT:o Raport proteine lichid pleural – proteine serice >0.5o Raport LDH lichid pleural – LDH seric >0.6o Valoare LDH lichid pleural >2/3 limita superioara a LDH

seric (>200U/L).

TRANSUDAT:o Raport proteine lichid pleural – proteine serice < 0.5o LDH lichid pleural < 200U/L

ANALIZA LICHIDULUI PLEURAL

Emmet E. McGrath, Diagnosis of Pleural Effusion: A Systematic Approach, AJJC