VARIETY
OF PLEURAL EFFUSION IN OUR CLINICAL PRACTICE
Gaja
Pozojevic
Sazetak:
Analizirali
smo 339 pacijenata sa pleuralnim izlivom lecenih u Zavodu za plucne bolesti I
tuberkulozu u Zrenjaninu u periodu 1990-1996.Odnos izmedju muskih I zenskih bio
je 1,51 na prema 1 u korist muskog pola.Etiologija je najvise dokazana
biohemijskom,citoloskom I bakterioloskom metodom pleuralnog punktata(36%),potom
slepom biopsojim sa pleure(9,1%),bronhologijom(4,4%),a citoloski iz sputuma
svega2,4%.U 20% slucajeva od ukupnog broja pacijenata nije dokazana etiologija
pleuralnog izliva.Najvise je bilo nespecificnih eksudata(34%)uz visok procenat
empijema(16%).Na drugom mestu su transudati(29%)iskljucivo zbog srcane
insuficijencije/Trece mesto zauzimaju izlivi maligne etiologije sa 25%.Oni su
metastatske prirode uz dominaciju epidermoidnog karcinoma pluca(33%).Najmanji je
procenat specificnih izliva(10%)ali uz visoko ucesce specificnih empijema(14%).
Ovakva
epidemioloska situacija zahteva aktivno trazenje obolelih,narocito u rizicnim
grupama,blagovremenu I adekvatnu terapiju I bolju interdisciplinarnu saradnju.
Kljucne
reci:Pleuralni
izliv,etiologija.
Summary:
We
examined a sample of 339 patients with pleural; effusion treated at Regional
Health Center for Lung Disease and tuberculosis in Zrenjanin for a period of six
years 1990-1996.The ratio of men to women in the sample was 1,51 to 1.The
etiology was mostly confirmed by both biochemical and cellular as well as
bacterial analysis of pleural contents(36%),by blind biopsy of pleura(9,1%),by
bronchoskopy(4,4%) and by cellular analysis of a sputum (2,4%).The percentage of
patients with whom the
etiology of pleural effusion could not be confirmed was 20%.The
percentage of non-specific exudate was high(34%) with a high percentage of
empyema (16%).Twenty nine percent
of had transsudate due exclusiovely to heart
failure.Malignant metastatic caused by epidermoid lung cancer were the
third(33%).The percentage of specific effusions was low(10%),but with a high
percentage of specific empyema(14%).
On
the basis of these data we are of opinion that an active tracing of the
diseased,particulary of those belonging to high-risk groups,as wel as adequate
therapy along with beter interdisciplinary collaboration are
necessary.
Key
words:Pleural
effusion,etiology.
Pneumon,1997;35(1-4):39-44.