Pleural Effusion: By-Anshika Gupta

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PLEURAL

EFFUSION
BY-ANSHIKA GUPTA
INTRODUCTION
 A pleural effusion is accumulation of excessive fluid in the pleural
space, the potential space that surrounds each lung.

 Under normal conditions, pleural fluid is secreted by the parietal


pleural capillaries at a rate of 0.01 milliliter per kilogram weight per hour,
and is cleared by lymphatic absorption leaving behind only 5–15
milliliters of fluid, which helps to maintain a functional vacuum between
the parietal and visceral pleurae.

 Excess fluid within the pleural space can impair inspiration by upsetting


the functional vacuum and hydrostatically increasing the resistance
against lung expansion, resulting in a fully or partially collapsed lung.
TYPES
Various methods can be used to classify pleural fluid.

By the origin of the fluid:


•Serous fluid (hydrothorax)
•Blood (hemothorax)
•Chyle (chylothorax)
•Pus (pyothorax or empyema)
•Urine (urinothorax)

By pathophysiology:
•Transudative pleural effusion
•Exudative pleural effusion
TRANSDATIVE EFFUSIONS

• Transudative effusion also known as hydrothroces.


• It occur primarily in noninflammatory conditions; is an accumulation
of low protein,
• low cell count fluid.

• Causes-
• Increase hydrostatic pressure found in heart failure(most common
cause of pleural effusion)
• Decrease oncotic pressure(from hypoalbuminemia) found in cirrhosis
of liver or renal failure)
• In this conditions ,fluid movement is facilitated out of the capillaries
and pleural space.
Exudative effusions

 Exudative effusions occur in an area of inflammation;


is an accumulation of high-protein fluid.

 An exudative effusion results from increased capillary


permeability characteristic of inflammatory reaction.

 This type of effusion occurs secondary to conditions


such as pulmonary malignancies, pulmonary infections
and pulmonary embolization.

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