Post on 22-Feb-2016
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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