Enf Pleural Act1

ENFERMEDADES PLEURALES Dr.J.Javier Díaz Castañón NEUMOLOGIA Hospital Dr. Angel Leaño

Objetivos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fisiología del Liquido Pleural Gradiente 6 cm. H 2 O Gradiente de 13 cm.H 2 0 Light R.W. Pleural Diseases 3rd Ed pag 10 23 cm. H 2 O 10 cm. H 2 O 4 cm. H 2 O P. Oncótica 34 cm. H 2 O P. Oncótica 5 cm. H 2 O P. Oncótica 34 cm. H 2 O P. Hidrostática 11 cm. H 2 O -5cm H 2 O P. Hidrostática 30 cm. H 2 O Pleura visceral Espacio pleural Pleura Parietal

Enfermedades de la Pleura ,[object Object],[object Object],[object Object]

Liquido Pleural ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Signos y Sintomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Principales causas de Derrame pleural en los Estados Unidos de América ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evaluación del Liquido ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caracteristicas del liquido ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hemorragico: Metástasis de Ca de mama Quiloso: Ca Bronquial con Invasion del Ducto torácico Trasudado Pleural : Insuf. Cardiaca

Clasificación del Liquido Criterios de Light > 0.5 > 200 > 0.6 > 3 g Exudado < 0.5 Baja < 0.6 < 3 g Trasudado Relación DHL Liquido/suero DHL Relación Proteinas Liquido/suero Proteinas

Trasudados ,[object Object],[object Object],[object Object],[object Object],[object Object]

Exudados ,[object Object],[object Object],[object Object],[object Object]

Quimica pleural ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quimica pleural pH < 7.2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quimica pleural ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Población Celular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Derrame infeccioso ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Derrame pleural Infeccioso es 1/3 de los Derrames ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Derrame Pleural Paraneumónico y Empiema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Derrame Pleural Paraneumonico y Empiema ,[object Object],[object Object],[object Object],Eur Respir J 1997; 10 1150-1156

Causas de Empiema en 319 Pacientes Pleural Diseases 3rd Ed.1995 R.W.Light ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Derrame Pleural Paraneumónico y Empiema ,[object Object],[object Object],[object Object],[object Object],www.chestnet.org/education/pccu/vol12/lesson06.html

Derrame Pleural Maligno ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Derrame Pleural Maligno ,[object Object],[object Object],[object Object],[object Object]

Pleurítis Tuberculosa ,[object Object],[object Object],[object Object],[object Object]

Pleurítis Tuberculosa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Enfermedades de la Colagena ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Biopsia Pleural ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Toracoscopía diagnostica ,[object Object],[object Object],[object Object]

Neumotórax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neumotórax espontáneo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neumotórax espontáneo signos y síntomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neumotórax a Tensión ,[object Object],[object Object],[object Object],[object Object],[object Object]

Neumotórax a Tensión ,[object Object]

Tratamiento De Evacuación Pleural Drenaje de la cavidad pleural

Tumores Pleurales ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesotelioma Maligno ,[object Object],[object Object],[object Object],[object Object],[object Object],Chrysolite Antophylite Amosite Crocidolite

Mesotelioma maligno ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tumor fibroso solitario (Mesotelioma Benigno)

Enfermedades de la Pleura ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Enf Pleural Act1

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