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Empiemul pleural

(Pleurezia purulenta

netuberculoasa)

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Defnitie

reprezinta colectiepurulenta in cavitatea

pleurala.

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Cauze

-pneumonii

-abcese pulmonare

-chirurgia toracica recenta

-traumatisme toracice

-inectii mediastinale

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Semne si simptome

-debutul! de obicei! este insidios"ebra!

risoane!

transpiratii!

#unghi toracic!

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Diagnostic

-E$amenul clinic

-E$amenul biologic

-E$amenul imagistic

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Empiem pleural

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Complicatii

-septicemie

-fstula pleurobronsica sau

cutanata -supuratie cronica cu pahipleurita

-abcese metastatice

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ibroza pulmonara

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%ratament

-antibioticoterapie tintita

-reechilibrare hidroelectrolitica si

acido-bazica -suport nutritional

-tratament local -drena# pleural -tratament chirurgical

- decorticarepleurala