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The pleural effusion in general internal practice


Authors: M. Teřl;  M. Pešek;  A. Tauchman
Authors‘ workplace: Klinika tuberkulózy a respiračních nemocí Lékařské fakulty UK a FN, Plzeň, přednosta prof. MUDr. Miloš Pešek, CSc.
Published in: Vnitř Lék 2005; 51(4): 430-437
Category: Reviews

Overview

The pleural effusion is a frequent problem of internist’s medical practice. It appears with as many as 10% of patients with internal diseases. The objective of this paper is the provision of a survey of a current, clinically significant knowledge concerning pathogenesis of the pleural effusion and its diagnostic possibilities. It resumes the survey of the most important causes and types of pleural effusions and summarizes the existing therapeutical possibilities. Its conclusion is that the base of a rational approach to patients with a pleural effusion is a proper determination of its causes, where a consistent analysis of pleural liquid still remains the essential instrument. In case that the focused treatment of the cause(s) of pleural effusions fails, nowadays, there are available, besides the classical surgical treatment, possibilities of a local mini-invasive treatment with the help of fibrinolysis and pleurodesis.

Keywords:
pleural effusion – exudat – transudat – differentiation – therapy


Sources

1. Albert RK, Spiro SG, Jett JR. Comprehensive Respiratory Medicine. Barcelona: Mosby 1999.

2. Baumgartner FJ, Rayhanabad J, Bongard FS et al. Central venous injuries of the subclavian-jugular and innominatecaval confluences. Tex Heart Inst J 1999; 26(3): 177–181.

3. Black LF. The pleural space and pleural fluid. Mayo Clin Proc 1972; 47(7): 493–506.

4. Bone RC, Dantzker DR, George RB et al. Pulmonary and Critical Care Medicine. St. Louis: Mosby 1997; 1–3 vol.

5. Broaddus VC, Wiener-Kronish JP, Staub NC. Clearence of lung edema into the pleural space of volume- loaded anesthetized sheep. J Appl Physiol 1990; 68(6): 2623–2630.

6. Burgess LJ, Maritz FJ, Taljaard JJ. Comparative Analysis of the Biochemical Parameters Used to Distinguish Between Pleural Transudates and Exudates. Chest 1995; 107(6): 1604–1609.

7. Cragun WH. Pleural Effusion Prediction Failures. Chest 2002; 122(5): 1505–1506.

8. Čihák R, Grim M. Anatomie 2. 2nd ed. Praha: Grada 2002.

9. Dutly F, Altwegg M. Whipple’s Disease and „Tropheryma whippelii.“ Clin Microbiol Rev 2001; 14(3): 561–583.

10. Ganong WF. Přehled lékařské fyziologie. Jinočany: H+H 1995.

11. Hegglin R. Diferenciální diagnostika vnitřních chorob. 11. ed. (1. ed–CZ). Praha: Avicenum 1972.

12. Hoefs JC. Serum protein concentration and portal pressure determine the ascitic fluid protein concentration in patients with chronic liver disease. J Lab Clin Med 1983; 102(2): 260–273.

13. Chakko SC, Caldwell SH, Sforza PP. Treatment of congestive heart failure. Its effect on pleural fluid chemistry. Chest 1989; 95(4): 798–802.

14. Chelliah A, Burge MR. Insulin edema in the twenty-first century: review of the existing literature. J Investig Med 2004; 52(5): 104–108.

15. Chertow BS, Kadzielawa R, Burger AJ. Benign pleural effusions in long-standing diabetes mellitus. Chest 1991; 99(5): 1108–1111.

16. Joseph J, Badrinath P, Basran GS et al. Is albumin gradient or fluid to serum albumin ratio better than the pleural fluid lactate dehydroginase in the diagnostic of separation of pleural effusion? BMC Pulm Med 2002; 2: 1.

17. Joseph J, Badrinath P, Basran GS et al. Is the pleural fluid transsudate or exudate? A revisit of the diagnostic criteria. Thorax 2001; 56(11): 867–870.

18. Křepela K. Tuberkulóza dětí a dorostu a její diferenciální diagnostika. Praha: Maxdorf 1995.

19. Light RW, Macgregor MI, Luchsinger PC et al. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med 1972; 77(4): 507–513.

20. Light RW. Pleural diseases. 3. ed. Baltimore: Williams and Wilkins 1995.

21. Loddenkemper R. Thoracoscopy – state of the art. Eur Respir J 1998; 11(1): 213–221.

22. Loddenkemper R, Fabel H, Konietzko N et al. Diagnostisches Vorgehen beim Pleuraerguss. Pneumologie 1994; 48: 278–280.

23. Loddenkemper R. Klinische Untersuchungenvervahren beim Pleuraerguss. Atemw-Lungenkrkh 1991; 17: 308–314.

24. Lopez M, Fleisher T, DeShazo RD. Use and Interpretation of Diagnostic Immunologic Laboratory Tests. JAMA 1999; 268(20): 2970–2990.

25. Marel M, Štastný B, Melínová L et al. Diagnosis of pleural effusions. Expirience with clinical studies, 1986 to 1990. Chest l995; 107(6): 1598–1603.

26. Matýšková M, Krahulcová E, Bulíková A at al. Pohrudniční výpotek při plazmacelulární leukemii. Vnitř Lék 1995; 41(7): 467–469.

27. Meisel S, Shamiss A, Thaler M et al. Pleural fluid to serum bilirubin concentration ratio for the separation of transudates and exudates. Chest 1990; 98(1): 141–144.

28. Miserocchi G. Physiology and pathofysiology of pleural fluid turnover. Eur Respir J 1997; 10(1): 219–225.

29. Namazi MR, Mowla A. Massive right–sided hemorrhagic pleural effusion due to pancreatitis; a case report. BMC Pulm Med 2004; 4(1): 1.

30. Nolte D. Manuale pneumologicum. Diesenhofen: Dustri–Verlag Dr. Karl Feistle 1992.

31. Pešek M et al. Bronchogenní karcinom. 1. ed. Praha: Galén 2002.

32. Pešek M, Šimeček C. Chemický zánět pohrudnice po methotrexatu podávaném v kombinaci s jinými cytostatiky. Stud Pneumol Phtiseol Cechosl 1985; 45(5): 371–373.

33. Petrou M, Kaplan D, Goldstraw P. The management of recurrent malignant pleural effusions: the complementary role of talc pleurodesis and pleuroperitoneal shunting. Cancer 1995; 75(3): 801–805.

34. Pettersson T, Froseth B, Riska H et al. Concentration of hyaluronic acid in pleural fluid as a diagnostic aid for mallignant mesothelioma. Chest 1988; 94(5): 320–324.

35. Pilinová A, Bohut V, Voslářová Z et al. Fluidothorax s převážnou lokalizací v interlobiu a subpulmonálně u nemocné s renální insuficiencí. Stud Pneumol Phtiseol Cechoslov 1987; 47(4): 242–245.

36. Rodriguez-Panadero F, Antony VB. Pleurodesis. State of the art. Eur Respir J 1997; 10(7): 1648–1654.

37. Sahn SA. Management of complicated parapneumonic effusions. Am Rev Respir Dis 1993; 48(3): 813–817.

38. Scheinin SA, Wells PR. Esophageal Perforation in a Sword Swallower. Tex Heart Inst J 2001; 28(1): 65– 68.

39. Singh K, Loo S, Bellomo R. Pleural drainage using central venous catheters. Crit Care 2003; 7(6): 191– 194.

40. Starck D. Vergleichende Anatomie der Wirbeltiere auf evolutionsbiologischer Grundlage. 3. ed. Berlin: Springer 1982.

41. Stites DP, Terr AI. Základní a klinická imunologie. Praha: Victoria 1994.

42. Taylor RFM, Rubens MB, Pearson MC et al. Intrapleural streptokinase in the management of empyema. Thorax 1994; 49: 856–859.

43. Valdés L, Pose A, Suarez J et al. Cholesterol: a useful parameter for distinguishing between pleural exudates and transudates. Chest 1991; 99(5): 1097–1102.

44. Wiener-Kronish JP, Matthay MA, Callen PW et al. Relationship of pleural effusions to pulmonary hemodynamics in patients with congestive heart failure. Am Rev Respir Dis 1985; 132(6): 1253–1256.

45. Zatloukal P, Fiala P, Votruba J et al. Pneumologie. 1. ed. Praha: Karolinum/ Galén 2001.

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Diabetology Endocrinology Internal medicine

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