Fleiðruholsvökvi : rannsókn á níutíu og sex sjúklingum á Borgarspítala

• Main Authors: Gunnar Guðmundsson, Magni S. Jónsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Pleural Effusion; Iceland; Smella
• Online Access: http://hdl.handle.net/2336/83954

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open The purpose of the study was to look into the demographic characteristics of pleural effusions and use of diagnostic methods at the Reykjavik City Hospital which is a 300 bed acute care hospital and takes 35% of unselected emergency admissions from a population of about 200.000. All patients with pleural effusion during the first seven months of 1990 were evaluated by one of the authors and data collected in a prospective manner. Care was taken to interfere as little with patient management as possible. All decisions regarding selection of diagnostic tests, including thoracentesis, were taken by the attending physician unless one of the authors was specifically consulted. A total of 96 patients were enrolled and pleural fluid was obtained in 27. None had positive bacterial or mycobacterial culture and only one of 14 had malignant cells on cytology. Pleural biopsy was done in three cases and did not give specific diagnosis. Using clinical criteria and results of pleural fluid investigations the diagnosis was made in 80% during hospitalization. Congestive heart failure, parapneumonic effusion and effusion after abdominal surgery account for the majority of our cases. Only two patients had malignancy as the cause. In other studies congestive heart failure is not as prominent cause of effusion as in our study and if these cases are omitted the diagnostic rate is 74% which is comparable to other studies. In six of the 16 patients listed with effusion of unknown cause, viral etiology was suspected, although not proven. Vökvasöfnun í fleiðruhol er algengt vandamál hjá sjúklingum sem leggjast inn á sjúkrahús. Vökvasöfnunin getur átt sér margar orsakir og vekur oft upp ýmsar spurningar í sambandi við greiningu og meðferð (1). Við eðlilegar kringumstæður eru um það bil 7-15 millilítrar af vökva í fleiðruholinu og kemur hann frá veggfleiðru og er einnig tekinn þar upp aftur (2). Vökvinn eykst þegar ójafnvægi verður milli ...