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Titolo:
Prognosis of patients with rounded atelectasis undergoing long-term hemodialysis
Autore:
Horita, Y; Noguchi, M; Miyazaki, M; Tadokoro, M; Taura, K; Watanabe, T; Nishiura, K; Harada, T; Ozono, Y; Kohno, S;
Indirizzi:
Nagasaki Univ, Sch Med, Dept Internal Med 2, Nagasaki 8528501, Japan Nagasaki Univ Nagasaki Japan 8528501 rnal Med 2, Nagasaki 8528501, Japan Nagasaki Univ, Sch Med, Dept Urol, Nagasaki 8528501, Japan Nagasaki Univ Nagasaki Japan 8528501 Dept Urol, Nagasaki 8528501, Japan Nagasaki Municipal Med Ctr, Dept Internal Med, Nagasaki, Japan Nagasaki Municipal Med Ctr Nagasaki Japan Internal Med, Nagasaki, Japan Matsuura Municipal Hosp, Dept Internal Med, Nagasaki, Japan Matsuura Municipal Hosp Nagasaki Japan pt Internal Med, Nagasaki, Japan Matsuura Municipal Hosp, Dept Surg, Nagasaki, Japan Matsuura Municipal Hosp Nagasaki Japan Hosp, Dept Surg, Nagasaki, Japan Nagasaki Univ Hosp, Dept Gen Med, Renal Care Unit, Nagasaki, Japan Nagasaki Univ Hosp Nagasaki Japan Med, Renal Care Unit, Nagasaki, Japan
Titolo Testata:
NEPHRON
fascicolo: 1, volume: 88, anno: 2001,
pagine: 87 - 92
SICI:
0028-2766(200105)88:1<87:POPWRA>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLEURAL EFFUSION; DIALYSIS;
Keywords:
rounded atelectasis; uremic pleural effusion; thoracentesis; pleurodesis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Horita, Y Nagasaki Univ, Sch Med, Dept Internal Med 2, 1-7-1 Sakamoto, Nagasaki 8528501, Japan Nagasaki Univ 1-7-1 Sakamoto Nagasaki Japan 8528501 8501, Japan
Citazione:
Y. Horita et al., "Prognosis of patients with rounded atelectasis undergoing long-term hemodialysis", NEPHRON, 88(1), 2001, pp. 87-92

Abstract

We present 4 patients undergoing hemodialysis in whom thoracic computed tomography (CT) suggested a diagnosis of rounded atelectasis (RA) with pleural effusion. The clinical setting and follow-up CT of all 4 patients confirmed this diagnosis. The pleural fluid of each appeared serosanguineous or hemorrhagic and predominantly consisted of lymphocytes. Biochemical analysis of this fluid revealed high levels of total protein, lactate dehydrogenase and glucose. Bacterial culture and polymerase chain reaction for Mycobacterium tuberculosis DNA was negative. Pleural biopsy specimens from 2 of the 4patients showed evidence of fibrinous change and mesothelial cell hyperplasia. Pleural effusion from all 4 patients did not respond to either fluid restriction or aggressive hemodialysis-induced dehydration. The subsequent clinical course and thoracentesis were repeated, and in 1 patient, this was followed by tetracycline pleurodesis. However, 2 patients died during pre-pleurodesis and 1 died during post-pleurodesis, ail due to respiratory failure. We propose that the clinical setting and follow-up thoracic CT and thoracentesis of patients receiving long-term hemodialysis confirmed a diagnosis of rounded atelectasis with uremic pleural effusion. We also propose thatthe prognosis of patients with refractory pleural effusion receiving long-term hemodialysis would be improved by early pleurodesis. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 20:02:10