What is Pleural Diseases

Pleural disease is common and usually secondary to lung disease husule revenues.

Anatomy

Pleura, lung and pleural cavity is a membrane that covers the years. Visceral pleura of the lung and interlobar fissures cover the entire surface. Remains outside the visceral pleura parietal pleura, lung and others.

Physiology

There is a space between the visceral and parietal pleura leaves. One prevents the thin liquid two-leaf friction. Pleural fluid is renewed continuously, and is absorbed.

And accumulated in the accumulation of fluid in pleural cavity fluid absorption is very fast. Accumulated in the pleural cavity in different diseases, for example a liquid is absorbed and superseded saatta% 30-75 accumulates. Normally the pleural cavity fluid is collected.

Pleural fluid (Pleurisy)

Examination of pleural fluid, pleural disease toransentez taken with a very important method for diagnosis. The patient's age, work place, hospital or outpatient-causing disease varies according to the characteristics of pleural fluid. Infection, tumor, and congestive heart failure, 75% of all pleural fluids included. Pulmonary infarction, cirrhosis, and reviewed several times because of the trauma husule escaped from the liquids. Viral pericarditis, pneumothorax, rheumatoid lung disease, nephrotic sondrom superior vena cava syndrome, pleural fluid by other diseases.

TEMPERATURE diagnosis of the etiology of pleural fluid characteristics can be helpful. The main two types of pleural fluid transudates and exudates.

Transudates

Pleural fluid transudates and protein density of less than 1,015 gm is less than 3%. Transudates usually salt and water retention, hypoalbuminemia, and are due to venous or lymphatic pressure. About 10% of pleural transudates niteliğindedir tumoral fluids. This rate küçümsenmemeledir. Because the incidence of tumors than pleural effusion.

Congestive heart failure

The main cause of pleural fluid transudates nature of congestive heart insufficiency. Clinical symptoms, physical examination, ECG and radiological findings in the diagnosis of the disease easily provided. The pleural fluid in patients with lung kapilerlerinde cause the increase of hydrostatic pressure. Bilateral liquid is monitored frequently. From left to right pleural effusion is usually more frequent. Only the right can be fluid. Liquid to be left alone is rare. Congestive heart failure, sometimes localized interlobar fluid collection is similar to the tumor. These phantom (imaginary) is called a tumor. Radiographs taken in different positions (standing and decubitus lateral) shape of the liquid varies, this does not change, whereas tumors.

Nephrotic syndrome

Nephrotic syndrome, another cause of pleural fluid transudates nature, is related to salt and water retention. Facilitates the collection of this disease, hypoalbuminemia liquid. Clinical, laboratory findings of the disease is diagnosed.

Acid

Peritoneum in the liquid (acid), pleural cavity through a defect in the diaphragm or diaphragmatic lenfatikleriyle passes.

Sometimes happens in cases of cirrhosis of the liver epanşmanı pleura. This is a very time-man epanş right side. Acid in pleural fluid is usually a complication of hepatic origin. Cirrhosis, together with the cases of pleural tuberculosis epanşmanı and the fire is likely.

Meigs syndrome epanşmanı pleura, peritoneum due to fluid accumulation associated with ovarian fıbroması. Liquid usually serözdür, sometimes bloody, and the intensity many times the amount of protein niteliğindedir transudates. Peritoneal cavity or fluid collection with a collection of fluid in the tumor fluid secretion kolaytaş-tırmasıyla is explained. Peritoneal fluid collected through pleural cavity. Removal of the tumor and the pleura epanşmanı acid disappears, and you do not husule.

Peritoneal or pleural effusion may occur depending on dializine.

Vascular occlusion (superior vena cava syndrome)

Süperiyörün vena cava tumor, granuloma (eg, tuberculosis) or a blockage of thrombosis commonly causes pleural epanşmanına. This obstruction of veins intercostal veins, and this leads to an increase in the parietal pleura and the pleural cavity, fluid accumulates in kapilerinde pressure. In this syndrome, pleural fluid transudate niteliğindedir generally. Clogging the fluid nature of the change has happened, however, the tumor infiltrated the pleura. Superior vena cava obstruction can cause sodium retention. Therefore, salt restriction and diuretic treatment in these patients, the reduction or loss of edema, and pleural fluid is useful.

Exudates

Exudative pleural fluid density, and more than 1,015 gm protein, 3% from the many.
Exudative pleural effusion seen in most tuberculosis disease. It follows other bacterial infections. Exudative pleural effusion and pulmonary infarction may occur if the tumor.