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Vol. 9. Issue 1.
Pages 9-18 (January - February 2003)
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Vol. 9. Issue 1.
Pages 9-18 (January - February 2003)
ARTIGO ORIGINAL/ORIGINAL ARTICLE
Open Access
Sequelas pleurais dos derrames tuberculosos: em busca de parâmetros preditivos
Pleural thikening and tuberculous effusion: searching for predictive data
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A.M.S. Chibante1, T. Tsubouchi Ferreira2, S. Miranda3
1 António M. S. Chibante — Professor adjunto de Pneumologia da Universidade do Rio de Janeiro
2 Thais Tsubouchi Ferreira — Graduada em Medicina pela Universidade do Rio de Janeiro.
3 Simone Miranda — Especialista em Pneumologia. Directora do Centro de Investigações Respiratórias do Rio de Janeiro.
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RESUMO

A tuberculose é uma enfermidade bastante comum relacionada com situações socioeconómicas mais desfavoráveis e frequentemente associada a derrame pleural. Vários autores focalizam as sequelas pleurais como consequências que em determinados casos podem interferir na função respiratória desencadeando insuficiência ventilatória. Alguns estudiosos têm procurado definir parâmetros bioquímicos de modo a detectar futuros espessamentos pleurais e prevenir, através de maior vigilância, possível incapacidade pulmonar. Este estudo baseia-se na análise radiográfica do tórax após término do tratamento e procura correlacionar possíveis achados pleurais com dados bioquímicos do líquido na fase inicial, volume dos derrames e tempo de sintomas.

REV PORT PNEUMOL IX (1): 9-18

Palavras-chave:
espessamento pleural
derrame pleural tuberculoso
inflamação pleural
ABSTRACT

Tuberculosis is a very common disease usualy related to bad social-economic conditions and sometimes with associated pleural effusion. Pleural sequelae are referred by some authors as a consequence that may interfere with lung function provoking respiratory failure in some critical situations. Some experts try to find clinical and biochemical parameters in order to detect possibilities that could predict future pleural thickening and necessity of closer vigilance to avoid lung function disability.

This study is based on the post-treatment roentgenological pleural findings and their correlation with the initial pleural fluid biochemical data, the volume of the effusions and time of patients complains.

REV PORT PNEUMOL IX (1): 9-18

Key-words:
pleural fluid
pleural tuberculosis
pleural thikening
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Copyright © 2003. Sociedade Portuguesa de Pneumologia/SPP
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