Extended Dwell Time Improves Results of Fibrinolytic Therapy for Complex Pleural Effusions
نویسندگان
چکیده
منابع مشابه
Fibrinolytic and inflammatory processes in pleural effusions.
This study was designed to evaluate major fibrinolytic parameters in relation to parameters of inflammation associated with different kinds of pleural effusion. Sixty patients with pleural effusion were studied. The underlying aetiology was empyema in 10 cases, tuberculosis in 9, cancer in 31, cardiac failure in 7, and undetermined in 3. Plasminogen, plasminogen activator inhibitor 1 (PAI-1) an...
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Loculated pleural effusions are most commonly due to complicated parapneumonic effusions and empyema followed by tubercular pleural effusions and empyema, hemothorax and malignant effusions. Loculations develop due to delayed initiation and inappropriate use of antibiotics and, delayed initiation of pleural space drainage. The presence of loculations and thick viscous fluid leads to failed pleu...
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OBJECTIVES To assess risk factors associated with failure and bleeding in intrapleural fibrinolytic therapy (IPFT) for pleural effusions. DESIGN Retrospective case series. SETTING Two tertiary-care centres in North America. PARTICIPANTS We identified 237 cases that received IPFT for the treatment of pleural effusions. Data for 227 patients were compiled including demographics, investigati...
متن کاملDiagnosis of pleural effusions.
Sixty patients of pleural effusion with different aetiology are described. Various microbiological and biochemical parameters were done simultaneously in blood and pleural fluid to differentiate tuberculosis and non-tuberculosis effusions. Some biochemical tests were thought to be helpful in differential diagnosis but no single parameter was found diagnostic. Routine investigations of pleural f...
متن کاملCytodiagnosis of Pleural Effusions
THERE are several varieties of pleural effusion where an examination of the cells in the fluid is as a rule unnecessary. These are the various forms of purulent effusion or empyema. Pus is pus all the world over, and its main scientific interest is not to be found in the cells which it contains, but in the organisms which cause its production and are to be found in it. It makes a great deal of ...
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ژورنال
عنوان ژورنال: Cureus
سال: 2020
ISSN: 2168-8184
DOI: 10.7759/cureus.9664