EMPYEMA THORACIS. Dr. Ashraf A. Esmat A.Prof.Cardio-thoracic surgery Cairo university. Definition. Accumulation of Pus in the Pleural cavity. It comes from the greek word empyein ,which means :pus –producing (suppurates). Aetiology. Lung diseases: Pneumonia (the most common cause)
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Dr. Ashraf A. Esmat
Accumulation of Pus in the Pleural cavity.
It comes from the greek word empyein ,which means :pus –producing (suppurates).
Pneumonia (the most common cause)
The most common:
Pleura fills with thin fluid that shows one or more of these criteria;
Ph < 7.4
Glucose <40 mg/dl
LDH> 1000 iu/dl
Protein > 2.5 gm/dl
Thick,Opaque fluid with positive culture (pus) and Deposition of thin fibrin layer over the pleura.
Progressive loculation and formation of pouches in the pleura.
Presence of very thick pus .
Thick Inelaastic peel over both pleurae causing entrapment of the lung.
within the first 2 weeks of the onset.
after 2 weeks or with the formation of the thick peel and loculations.