Serothorax

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Classification according to ICD-10
J94.8 Other specified conditions of the pleura
ICD-10 online (WHO version 2019)
Pleural effusion of the left half of the thorax

A pleural effusion containing fibrin and protein , i.e. an accumulation of serous fluids in the pleural space , is called a serothorax . It occurs as a result of an inflammatory or tumorous disease of the pleura . If the pleural effusion is low in protein and cells, it is called hydrothorax (formerly also dropsy of the chest ). The hydrothorax usually occurs as a result of right or left ventricular heart failure , nephrotic syndrome, or (as hepatic hydrothorax) cirrhosis of the liver .

causes

The causes of serothorax in the literature are cardiovascular diseases , disorders of the blood protein balance such as dysproteinemia and hypoproteinemia , malignant pleurisy diseases, inflammations arising from intrathoracic diseases or abdominal diseases (such as pancreatitis ) and rheumatism .

diagnosis

Signs of a serothorax are a noticeable dampening of the percussion of the chest, only a slight or imperceptible breathing noise as well as a shadowing of the diseased thorax area in the X-ray image.

therapy

The pleural effusion is treated with a pleural puncture . The puncture serves to reduce pressure symptoms in the thorax and to identify the causative pathogen. The disease causing the serothorax is to be treated surgically or internally, depending on its genesis.

Individual evidence

  1. ↑ a b Pschyrembel, p. 1412
  2. ↑ a b Pre-Clinical Textbook, p. 254
  3. ^ Meyer's Large Conversational Lexicon. 6th edition, Bibliographisches Institut, Leipzig / Vienna 1905-1909. 1909, Retrieved October 18, 2017 .
  4. ↑ Berthold Jany, Tobias Welte: Pleural effusion in adults - causes, diagnosis and therapy. In: Deutsches Ärzteblatt. Volume 116, Issue 21, (May) 2019, pp. 377–385, here: pp. 379 and 382.
  5. ↑ Pschyrembel, p. 669 ff.
  6. ↑ Surgery, p. 225
  7. ↑ Chirurgie, p. 225 and 226
  8. ^ Surgery, p. 226

literature

  • Robert F. Schmidt, Klaus Unsicker: Textbook Preclinical. Deutscher Ärzte-Verlag Cologne, 2003. ISBN 3-7691-0443-9 . P. 254
  • Pschyrembel - Clinical Dictionary. Berlin ; New York. Publishing house de Gruyter. 257th edition 1994 ( ISBN 3-11-014183-3 , ISBN 3-933203-04-X ). P. 669 ff. And 1412.
  • Georg Heberer, Wolfgang Köle, Harald Tscherne: Surgery - textbook for students of medicine and doctors. Springer-Verlag Berlin, Heidelberg, New York. 4th edition, 1983. ISBN 3-540-11899-3 . P. 225 ff.
  • Peter Thurn, Egon Bücheler: Introduction to X-ray diagnostics. Georg Thieme Verlag Stuttgart, New York. 7th edition, 1982. ISBN 3-13-316007-9 . P. 199, fig. 228