A Reminder of an Important Clinical Lesson: Hypoxaemia in a Pleural Effusion

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Reports (MDPI) Pub Date : 2022-02-17 DOI:10.3390/reports5010006
A. Aujayeb
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Abstract

A 75-year-old male presented with a large pleural effusion and significant hypoxaemia. The hypoxaemia persisted after large-volume pleural drainage, and this prompted further investigations. A CT scan yielded a pleural malignancy and a large pulmonary embolus, which was responsible for the hypoxaemia. We revisit the mechanisms behind dyspnoea and hypoxaemia in pleural effusions, and underly the need to investigate further should hypoxaemia persist after adequate drainage.
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提醒一个重要的临床教训:胸腔积液中的低氧血症
一名75岁男性,表现为大量胸腔积液和明显的低氧血症。大容量胸腔引流后低氧血症持续存在,这促使进一步的研究。CT扫描显示胸膜恶性肿瘤和大肺栓塞,这是造成低氧血症的原因。我们重新审视胸腔积液中呼吸困难和低氧血症的机制,并进一步研究在充分引流后低氧血症是否持续存在的必要性。
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