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Pleuraeffusion

Pleuraeffusion. Introduktionsuddannelsen til Lungemedicinsk sygepleje. Pleuraeffusion 23.November 2010 Nanna Eriksen Afdelingslæge Lungemedicinsk Afdeling Bispebjerg hospital. Typer. Transsudat Plv. protein < 30 g/l Exudat Plv. protein > 30 g/l. Transsudat. Exudat. Infektion 50%

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Pleuraeffusion

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  1. Pleuraeffusion

  2. Introduktionsuddannelsen til Lungemedicinsk sygepleje Pleuraeffusion 23.November 2010 Nanna Eriksen Afdelingslæge Lungemedicinsk Afdeling Bispebjerg hospital

  3. Typer • Transsudat Plv. protein < 30 g/l • Exudat Plv. protein > 30 g/l

  4. Transsudat

  5. Exudat • Infektion 50% • Malign sygdom 25% • Tromboembolisk sygdom 19% • Gastroentestinal Sygdom 4% • Autoimmun sygdom, TB og andre 1,5%

  6. Infektiøst exudat • Bakteriel pneumoni • Atypisk pneumoni • Parasitter • Nocardiose • Svampe sygdom • TB • AIDS • Post transplant

  7. Gastrointestinalt exudat • Pancreatitis • Pseudocyte i pancreas • Subphrenisk abscess • Hepatisk/splenisk abscess • Hepatitis • Chyløs ascites • Øsofagus ruptur

  8. Exudat ved Bindevævssygdom • Lupus pleuritis • Reumatisk pleuritis • MCTD • Sjøgren • Churg-Strauss syndrom • Wegeners granulomatose • Familiær middelhavs feber

  9. Exudat ved andre inflammatoriske sygdomme • LE • Strålebehandling • Asbest pleuritis • Sarcoidose • ARDS • Post-thoracotomi syndrom • Uræmisk pleuritis • Post transplant • Efter traumatisk pleuritis

  10. Malignt exudat • Carcinom • Sarcom • Lymfom/leukæmi • Mesotheliom • Chylothorax • AIDS

  11. Iatrogen/traumatisk exudat • Forkert liggende CVK • Øsofagus perforation • Haemothorax

  12. Exudat ved diverse tilstande • Meigs syndrom • Leiomyomatose • Yellow nail syndrom • Cholesterol effusion • Chylothorax • Hypothyreoidisme

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