Online citations, reference lists, and bibliographies.
← Back to Search

Diseases Of The Pleura.

R. Light
Published 1995 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
: In this review, three aspects of pleural disease are discussed. Although it was thought for many years that the origin of pleural fluid was the capillaries in the parietal or visceral pleura, recent evidence suggests that in many cases the origin of pleural fluid is the interstitial space of the lung. The interstitial space of the lung appears to be the source of the pleural fluid in patients who have congestive heart failure, parapneumonic effusions, pulmonary embolism, and lung transplants. The Hantavirus pulmonary syndrome is characterized by rapidly progressive, noncardiogenic pulmonary edema in relatively young, previously healthy individuals. The mortality rate with this syndrome is approximately 60%, and at autopsy most patients have large pleural effusions. Patients after lung transplantation frequently have profuse drainage from their chest tubes because most of the fluid that enters the lung must exit through the pleural space. The incidence of pleural effusion is very high in patients who have a complication of their lung transplantation, but the pleural fluid findings in patients after lung transplantation have not been well studied. Similarly, virtually all patients who undergo liver transplantation have a right-sided pleural effusion. The effusion usually reaches its maximum size around the third postoperative day. If the effusion increases in size after this time, serious complications should be suspected. The approach to pleural diseases has been altered with the advent of videothoracoscopy. Videothoracoscopy should be considered in patients who have undiagnosed pleural effusions and are not improving; in patients who have had recurrent pneumothorax, or a spontaneous pneumothorax with a persistent airleak or unexpanded lung; or in patients who have a traumatic hemothorax with clotted blood.



This paper is referenced by
10.1016/S1010-7940(99)00323-1
Mesothelioma--VATS biopsy and lung mobilization improves diagnosis and palliation.
M. Grossebner (1999)
10.1007/978-0-387-68113-9_75
Pleura: Anatomy, Physiology, and Disorders
J. Friedberg (2008)
Localized malignant mesothelioma of the pleura.
H. Takahashi (2007)
10.1043/1543-2165(2006)130[721:SPCAPD]2.0.CO;2
Synchronous pulmonary carcinoma and pleural diffuse malignant mesothelioma.
T. Allen (2006)
10.14238/PI44.6.2004.253-8
Recurrent idiopathic chylothorax
H. Nataprawira (2016)
10.5144/0256-4947.1999.347
Bilateral empyema thoracis treated by staged thoracotomies.
A. H. Banjer (1999)
10.1002/(SICI)1099-0496(199806)25:6<398::AID-PPUL8>3.0.CO;2-D
Familial spontaneous pneumothorax in neonates
M. Engdahl (1998)
10.1016/S2173-5115(07)70322-6
Complicated pleural effusion in children - therapeutical approach.
Sara Martins (2007)
10.1177/107327489700400404
Current Therapy for Mesothelioma.
Sugarbaker (1997)
10.1007/978-3-642-72041-3_25
Pathologische Anatomie der primären und sekundären Pleuratumoren
M. Brockmann (1998)
10.1007/BF02728849
Postpneumonic empyema in childhood
N. Belet (2001)
10.1007/0-387-28274-2_37
Pitfalls in the Diagnosis of Malignant Mesothelioma
D. Guinee (2005)
10.1016/0169-5002(95)00508-0
A proposed new international TNM staging system for malignant pleural mesothelioma from the International Mesothelioma Interest Group.
V. Rusch (1996)
10.1016/S0736-4679(03)00051-9
Parapneumonic pleural effusion and empyema in childhood.
H. Çaksen (2003)
10.1378/CHEST.07-1595
Occult traumatic pneumothorax: diagnostic accuracy of lung ultrasonography in the emergency department.
G. Soldati (2008)
10.1007/s00383-006-1740-6
Symptomatic spontaneous pneumothorax in term newborns
S. Katar (2006)
10.1378/CHEST.111.6.1784
Pulmonary vasculopathy and recurrent pneumothoraces.
J. Kay (1997)
Developmental and Physiologic Conditions for the Surgeon
Christopher A. Guidry (2012)
10.1002/(SICI)1097-0142(19960401)77:7<1379::AID-CNCR24>3.0.CO;2-Y
Post‐irradiation malignant mesothelioma
A. Cavazza (1996)
10.1016/J.PHYMED.2006.03.002
Antioxidant and anti-inflammatory effects of products from Croton celtidifolius Bailon on carrageenan-induced pleurisy in rats.
G. Nardi (2007)
10.1016/S0873-2159(15)30337-8
Derrame pleural complicado na criança – Abordagem terapêutica
Sara Martins (2007)
10.1016/S0011-5029(98)90015-3
Occupational lung disease.
D. Schwartz (1997)
10.1378/CHEST.105.1.321B
Role of closed-needle biopsy in the diagnosis of malignant mesothelioma of the pleura.
V. Roggli (1994)
Pleural Fluid Chemical Analysis Parapneumonic Effusions
J. Heffner (1995)
10.1378/CHEST.112.5.1424
Solitary fibrous tumor of the pleura: a report of five cases diagnosed by transthoracic cutting needle biopsy.
B. Weynand (1997)
10.17659/01.2015.0009
Synergy of Morgagni and Hiatus Hernia
Menduh Oruç (2015)
10.1155/MI.2005.2
The Differential Diagnostic Values of Cytokine Levels in Pleural Effusions
S. Akarsu (2005)
10.1016/S0003-4975(01)03151-4
Talc: isn’t it safe?: Reply
C. P. Clarke (2002)
10.1043/0003-9985(2000)124<0717:PVIISP>2.0.CO;2
Pulmonary vasculopathy in idiopathic spontaneous pneumothorax in young subjects.
P. Cyr (2000)
10.1007/BF02600204
Auscultatory percussion: a simple method to detect pleural effusion.
J. Guarino (1994)
10.1177/1420326X9700600204
The Pathogenesis of Pleural Plaques
A. Churg (1997)
10.11389/JJRS1963.34.312
[Sarcomatous malignant mesothelioma diagnosed after death].
S. Okuma (1996)
See more
Semantic Scholar Logo Some data provided by SemanticScholar