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Pleural Effusions Can-mao Xie Dept. of Pulmonary & Critical Care Medicine 1 st  Affiliated Hospital of Sun-Yat Sen University Dr. Canmao xie
Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction Dr. Canmao xie
Introduction ,[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],Anatomy of the Pleural Space Dr. Canmao xie SC: Systemic capillaries  PC: Pulmonary capillaries
[object Object],[object Object],Anatomy of the Pleural Space Dr. Canmao xie SC: Systemic capillaries  PC: Pulmonary capillaries

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4 pleural effusions

  • 1. Pleural Effusions Can-mao Xie Dept. of Pulmonary & Critical Care Medicine 1 st Affiliated Hospital of Sun-Yat Sen University Dr. Canmao xie
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Figure 1. Anatomy of the pleural space SC: Systemic capillaries PC: Pulmonary capillaries Dr. Canmao xie stomas stomas electronic microscopy
  • 8. Figure 2. pleural fluids turnover PF enter the pleural space through parietal & visceral pleurae, And leave pleural space through lymphatics in parietal pleura Dr. Canmao xie
  • 9.
  • 10. Figure. Diagrammatic representation of the pressures involved in the formation and absorption of pleural fluid. Parietal Pleura Visceral Pleura Space Pleura Hydrostatic Pressure + 30 - 5 + 24 35 29 6 0 Net 29 29 + 34 + 5 +34 Oncotic Pressure Dr. Canmao xie
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. A posteroanterior and lateral chest radiograph of pleural effusion blunting of the posterior costophrenic angle Dr. Canmao xie
  • 19.
  • 20.
  • 21. Light RW. Clin Chest Med, 2006,27:309-319 Etiology of pleural effusions
  • 22.
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  • 31.
  • 33. 肺腺癌 患者男性, 65 岁。 因“反复胸痛 5 月,呼吸困难 1 月,加重 1 周” 入院。胸水 CEA 增高。 镜下见:脏、壁层胸膜间粘连带形成,壁层胸膜、膈面见弥漫性结节样新生物,部分表面覆盖白色坏死组织,右上叶后段斜裂缘见白色息肉样肿物,右下叶表面多发灰色斑状浸润。病理示腺癌。
  • 34.
  • 35.
  • 36.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42. Thank you for attention! Dr. Canmao xie