Pleural effusion symptoms?

summary

Pleural effusion is a common clinical symptom characterized by pathological fluid accumulation in pleural cavity. Pleural cavity is a potential space between visceral and parietal pleura. In normal people, there is 5-15ml liquid in pleural cavity, which plays a lubricating role in breathing movement. 500-1000ml liquid is formed and absorbed in pleural cavity every day. Pleural effusion can be produced if the liquid in pleural cavity is increased or absorbed less for any reason. According to its mechanism, it can be divided into two types: leakage pleural effusion and exudative pleural effusion. Pleural effusion symptoms? Let's talk about it

Pleural effusion symptoms?

Chest tightness and dyspnea, less effusion (less than 300 ml) when the symptoms are not obvious, but acute pleurisy early effusion volume is small, there can be obvious chest pain, aggravated in inspiratory, patients like the affected side, when the effusion increased, pleural visceral layer and parietal layer separated, chest pain can be reduced or disappeared. When there is a large amount of pleural effusion (more than 500ml), shortness of breath, chest tightness, palpitation, dyspnea, even sitting breathing and cyanosis may occur.

Primary symptoms such as pleural effusion caused by tuberculosis may have tuberculosis poisoning symptoms such as low fever, fatigue and consumption; Patients with heart failure have symptoms of cardiac insufficiency; Pneumonia associated pleural effusion and abscess often have fever, cough and expectoration; Patients with liver abscess have pain in the liver area.

Patients with cellulosic pleurisy can hear pleural friction sound or touch pleural friction feeling. When there is a large amount of effusion, the respiratory movement of the affected side is limited, the breathing is shallow and fast, the intercostal space is plump, the trachea moves to the healthy side, the voice tremor of the affected side is weakened or disappeared, the breathing sound above the effusion area is enhanced, and sometimes the bronchial breathing sound can be heard.

matters needing attention

For the leakage of pleural effusion mainly for the treatment of primary disease, after the primary disease is controlled, the effusion can usually disappear by itself. When the large amount of effusion causes obvious clinical symptoms or the treatment effect of primary disease is poor, the symptoms can be relieved by closed thoracic drainage and other methods.