parapneumonic effusion

WordNet

1. flow under pressure
2. an unrestrained expression of emotion (同)gush, outburst, blowup, ebullition

PrepTutorEJDIC

1. 〈U〉流出,噴出;〈C〉流出物(量) / 〈C〉(感情・言葉などの,通例過剰な)吐露,ほとばしり

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/07/20 05:40:24」(JST)

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A parapneumonic effusion (circled), due to a left lower lobe pneumonia.

A parapneumonic effusion is a type of pleural effusion that arises as a result of a pneumonia, lung abscess, or bronchiectasis. There are three types of parapneumonic effusions: uncomplicated effusions, complicated effusions, and empyema. Uncomplicated effusions generally respond well to appropriate antibiotic treatment. The criteria for a complicated parapneumonic effusion include the presence of pus or Gram stain–positive pleural fluid or a pleural fluid pH <7.0. Appropriate management includes chest tube drainage (tube thoracostomy). Treatment of empyemas includes antibiotics, complete pleural fluid drainage, and reexpansion of the lung.

Other treatments include the use of decortication.

Diagnostic techniques available include plain film chest x-ray, computed tomography (CT), and ultrasound. Ultrasound can be useful in differentiating between empyema and other transudative and exudative effusions due in part to relative echogenicity of different organs such as the liver (often isoechogenic with empyema).

References

Duke, J. Roy, Jr.; James T. Good, Jr., Thomas M. Hyers, Michael D. Iseman, Dean D. Mergenthaler, Donald R. Rollins (2000). "Pleural Effusion". Frontline Assessment of Common Pulmonary Presentations. Denver, CO: Snowdrift Pulmonary Foundation, Inc. ISBN 0-9671809-2-9. Retrieved 2007-08-07. 

UpToDate Contents

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• 1. 成人における肺炎随伴性胸水および膿胸 parapneumonic effusion and empyema in adults
• 2. 小児における肺炎随伴胸水および膿胸のマネージメントおよび予後 management and prognosis of parapneumonic effusion and empyema in children
• 3. 小児における肺炎随伴胸水および膿胸の疫学、臨床症状および評価 epidemiology clinical presentation and evaluation of parapneumonic effusion and empyema in children
• 4. 成人における胸水の診断的評価：初期検査 diagnostic evaluation of a pleural effusion in adults initial testing
• 5. 胸腔ドレーンの留置およびマネージメント placement and management of thoracostomy tubes

English Journal

• Parapneumonic empyema in children before the era of pneumococcal vaccination.

• Niemi E, Korppi M.SourcePaediatric Research Centre, Tampere University and University Hospital, Tampere, Finland.
• Acta paediatrica (Oslo, Norway : 1992).Acta Paediatr.2011 Sep;100(9):1230-3. doi: 10.1111/j.1651-2227.2011.02290.x. Epub 2011 Apr 25.
• Background:? During the past two decades, the incidence of paediatric empyema has increased in many countries. Purpose:? The aim of this retrospective hospital chart review was to evaluate the incidence, aetiology and clinical and laboratory characteristics of parapneumonic empyema in children.
• PMID 21443529

Japanese Journal

• 膿胸および肺炎随伴性胸水に対するウロキナーゼ胸腔内注入療法の検討

• 中川 拓,今野 隼人,佐々木 智彦,大山 倫男,伊藤 学,齋藤 元,南谷 佳弘,小川 純一
• 日本呼吸器外科学会雑誌 = The journal of the Japanese Association for Chest Surgery 24(4), 733-741, 2010-05-15
• フィブリンの析出のためにドレナージが困難となった急性膿胸および肺炎随伴性胸水に対して，胸腔鏡下の手術奏功例が多数報告されているが，全身状態が不良で手術困難な場合も少なくない．このような症例に対してウロキナーゼの胸腔内投与の有用性が報告されている．しかし標準的な投与方法は確立していない．当科でウロキナーゼの投与を行った急性膿胸および肺炎随伴性胸水5例を対象に，ウロキナーゼ投与方法，治療期間，効果を中 …
• NAID 10026475724

Related Links

• Parapneumonic effusion - Wikipedia, the free encyclopedia

A parapneumonic effusion is a type of pleural effusion that arises as a result of a pneumonia, lung abscess, or bronchiectasis. There are three types of parapneumonic effusions: uncomplicated effusions, complicated effusions, and empyema. ...

Related Pictures

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★リンクテーブル★

リンク元	「肺炎随伴性胸水」
関連記事	「effusion」

「肺炎随伴性胸水」

　　[★]

英

parapneumonic effusion

関

胸水

「effusion」

　　[★]

• n.

• 浸出液、滲出液

関

decoction、effuse、exudate、exudation、exude、imbibition、leach、leachate、leaching、oozing、percolate、percolation