ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ NGUYÊN NHÂN TRÀN DỊCH MÀNG PHỔI TẠI KHOA NỘI HÔ HẤP BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2022

Abstract

Background: Pleural effusion includes two types: transudative fluid and exudative fluid. Clinical features, clinical scales and some causes of pleural effusion are important to help guide diagnosis, prognosis and treatment. Objectives: To describe the clinical and subclinical characteristics of patients with pleural effusion and determine the rate of cause of pleural effusion. Materials and methods: Cross-sectional descriptive study on 82 patients diagnosed with pleural effusion and inpatient treatment at the Department of Respiratory Medicine, Can Tho Central General Hospital from May 2022 to December 2022. Results: Prominent physical symptoms of pulmonary embolism were dyspnea (80.5%), chest pain (57.3%); The main entities were triple hypo syndrome (96.3%), pulmonary rales (46.3%). Characteristics of pleural fluid, the predominance was clear yellow (35.4%) and lymphocytes (57.35%), foreign cells (100%) were all malignant cells. Plain chest X-ray with bilateral effusion (100%). Pleural effusion due to secretions (97.56%).  Conclusions: Patients with pleural effusion had common symptoms of shortness of breath, chest pain. The clinical features recorded pleural effusion t3 syndrome association accounted for the highest proportion. Subclinical pleural fuild, yellow in predominance, lymphocytes accounted for a high percentage, and there were 11 recorded cases of 100% foreign cells that were malignant. A straight chest x-ray recorded 100% bilateral effusion, the Daimasoiseau curve and a low fluid level (< 1/3 lung) accounted for a high proportion. Secretory pleural effusion accounts for a much higher proportion than permeable fluid. The next highest rate of para-inflammatory pleural effusion is due to cancer and tuberculosi.