TIPO 1 : no significativo<\/p>\n<\/td>\n
Rx t\u00f3rax dec\u00fabito lateral: derrame <1cm<\/p>\n
No requiere punci\u00f3n evacuadora<\/p>\n
Tratamiento: solo antibioticoterapia<\/p>\n<\/td>\n<\/tr>\n
TIPO 2: Derrame Paraneum\u00f3nico<\/p>\n<\/td>\n
Rx torax dec\u00fabito lateral: derrame > 1cm<\/p>\n
Ecograf\u00eda: ausencia de tabiques<\/p>\n
L\u00edquido pleural: pH>= 7.2, glucosa >40, LDH<1000<\/p>\n
Tratamiento: Antibi\u00f3tico<\/p>\n
Aspiraci\u00f3n por aguja y\/o drenaje seg\u00fan volumen<\/p>\n<\/td>\n<\/tr>\n
TIPO 3: Derrame inflamatorio m\u00ednimamente complejo<\/p>\n<\/td>\n
Rx torax dec\u00fabito lateral: derrame >1cm<\/p>\n
Ecograf\u00eda: ausencia de tabiques<\/p>\n
L\u00edquido pleural: pH = 7-7.2, glucosa > 40, LDH >1000<\/p>\n
Tratamiento: Antibi\u00f3tico<\/p>\n
Toracocentesis seriadas<\/p>\n<\/td>\n<\/tr>\n
TIPO 4: Derrame inflamatorio moderadamente complejo<\/p>\n<\/td>\n
Rx torax dec\u00fabito lateral: derrame >1cm<\/p>\n
Ecograf\u00eda: ausencia de tabiques<\/p>\n
L\u00edquido pleural: Ph<=7, glucosa 1000<\/p>\n
Tratamiento: Antibi\u00f3tico<\/p>\n
Drenaje mediante tubo pleural<\/p>\n<\/td>\n<\/tr>\n
TIPO 5: Derrame inflamatorio extremadamente complejo<\/p>\n<\/td>\n
Ecograf\u00eda: Presencia de fibrina y septos<\/p>\n
L\u00edquido pleural : Ph <7, glucosa 1000, cultivo bacteriano +\/-<\/p>\n
Tratamiento: Antibi\u00f3tico<\/p>\n
Drenaje mediante tubo pleural<\/p>\n
Fibrinolisis<\/p>\n
Desbridamiento por toracoscopia si fracaso tto anterior<\/p>\n<\/td>\n<\/tr>\n
TIPO 6: Empiema no complejo<\/p>\n<\/td>\n
Ecograf\u00eda: Presencia de tabiques +\/-<\/p>\n
L\u00edquido pleural: pus franco, cultivo bacteriano +\/-<\/p>\n
Estabilidad cl\u00ednica<\/p>\n
Tratamiento : Antibi\u00f3tico<\/p>\n
Drenaje mediante tubo pleural<\/p>\n
Fibrinolisis<\/p>\n
Desbridamiento por toracoscopia si fracasa tto anterior<\/p>\n<\/td>\n<\/tr>\n
TIPO 7: Empiema complejo<\/p>\n<\/td>\n
Ecograf\u00eda: Presencia de m\u00faltiples tabiques<\/p>\n
L\u00edquido pleural: pus franco, cultivo bacteriano +\/-<\/p>\n
Inestabilidad cl\u00ednica<\/p>\n
Tratamiento: Antibi\u00f3tico<\/p>\n
Drenaje mediante tubo pleural<\/p>\n
Fibrinolisis<\/p>\n
Desbridamiento por toracoscopia<\/p>\n
Desbridamiento por toracotomia +\/-<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
Fuente: http:\/\/www.upiip.com\/files\/20090417163323_7274_a8aa4e41-d015-4cb0-a309-5f75d9a9dfcd.pdf<\/p>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"\u00a0 TIPO 1 : no significativo Rx t\u00f3rax dec\u00fabito lateral: derrame <1cm No requiere punci\u00f3n evacuadora Tratamiento: solo antibioticoterapia TIPO 2: Derrame Paraneum\u00f3nico Rx torax dec\u00fabito lateral: derrame > 1cm Ecograf\u00eda: ausencia de tabiques L\u00edquido pleural: pH>= 7.2, glucosa >40, LDH<1000 Tratamiento: Antibi\u00f3tico Aspiraci\u00f3n por aguja y\/o drenaje seg\u00fan volumen TIPO 3: Derrame inflamatorio m\u00ednimamente … Continue reading “Clasificaci\u00f3n y tratamiento del derrame pleural y empiema seg\u00fan Light.”<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-2019","post","type-post","status-publish","format-standard","hentry","category-neumologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/2019","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2019"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/2019\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2019"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2019"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}