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 LICHIDIANA

• EXUDAT:

o Raport proteine lichid pleural – proteine serice >0.5

o Raport LDH lichid pleural – LDH seric >0.6

o Valoare LDH lichid pleural >2/3 limita superioara a LDH seric

(>200U/L).

TRANSUDAT:

o Raport proteine lichid pleural – proteine serice < 0.5

o LDH lichid pleural < 200U/L

ANALIZA LICHIDULUI PLEURAL

Emmet E. McGrath, Diagnosis of Pleural Effusion:

A Systematic Approach, AJJC