Haydarpasa Numune Med J. 2019; 59(1): 60-63 | DOI: 10.14744/hnhj.2019.30306

Clinical Evaluation of Patients Who Underwent Pleuracan Drainage due to Pleural Effusion in the Emergency Department: Review of 54 Cases

Nazmiye Koyuncu, Abdullah ÝbrahÝm
Department of Emergency Medicine, Health Sciences University Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey

INTRODUCTION: This retrospective study aimed to investigate the clinical status of 54 patients with massive pleural effusion who had Pleuracan drainage in the emergency medicine department, and to evaluate the compliance with the literature.
METHODS: The medical records of 54 patients who underwent drainage using Pleuracan due to massive pleural effusion in the emergency department between January 1 and December 31, 2016 were obtained. They contained data concerning their demographic features, the cause of pleural effusion, the patient’s complaints, the characteristics of the pleural fluid, and complications during the procedure.
RESULTS: There were 54 patients who underwent drainage using Pleuracan in the emergency department in 2016. Of these patients, 51% were female, and 48% were male. The mean age was 70.62 (36–88 ) years, and 50% of the patients had history of pleural effusion. The most common causes of pleural effusion were cardiac failure (48%) and malignancy (37%). The main complaint was dyspnea (81%). Pneumothorax occurred in four patients (7%) after drainage using Pleuracan. No other complication was observed during the follow-up. The pleural fluid had exudative characteristics in 10 cases and transudative characteristic in 44 cases. Of the patients, 1 (1.8%) died during follow-up, while 3 (5.5%) were discharged, 5 (9.2%) were transferred to other hospitals, and 45 (83%) were hospitalized.
DISCUSSION AND CONCLUSION: In the evaluation of 54 case series of drainage using Pleuracan due to pleural effusions in one-year period, we obtained results consistent with the literature in terms of diagnosis, etiologic causes, treatment, and complications.

Keywords: Dyspnea, emergency department; pleural effusion; pleuracan; pneumothorax.

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Acil Serviste Plevral Efüzyon Nedeni Ýle Plöroken Takýlan Hastalarýn Klinik Ýncelemesi: 54 Vakanýn Analizi

Nazmiye Koyuncu, Abdullah ÝbrahÝm
Saðlýk Bilimleri Üniversitesi Haydarpaþa Numune Eðitim Ve Araþtýrma Hastanesi Acil Týp Kliniði, Ýstanbul

GÝRÝÞ ve AMAÇ: Bu çalýþma hastanemiz Acil Týp Kliniðinde masif plevral efüzyon saptanarak tedavi amaçlý küçük çaplý torasik kateterlerden plöroken takýlan 54 hastanýn klinik durumu ile yapýlan iþlemin retrospektif incelenmesini ve literatür ile uyumunu irdelemeyi amaçlamaktadýr.
YÖNTEM ve GEREÇLER: Acil serviste 1 Ocak- 31 Aralýk 2016 tarihleri arasýnda plevral efüzyon nedeni ile plöroken takýlan 54 hastanýn demogrofik özellikleri, plevral efüzyonun nedeni, hastanýn þikayeti, plevral sývýnýn özellikleri, iþlem sýrasýnda komplikasyon geliþip geliþmediði gibi veriler hasta dosyasýndan incelenerek veri toplama formuna kaydedildi.
BULGULAR: 2016 yýlýnda Acil Týp Kliniðinde tedavi amaçlý 54 hastaya plöroken takýldýðý saptandý. Bu hastalarýn %51’i kadýn, %48’i erkekti.Yaþ ortalamasý 70,62 idi (36-88). Hastalarýn yarýsý (%50) eski efüzyon tarifliyordu. Efüzyonun en sýk sebebi %48 kalp yetmezliði, %37 maligniteydi. Hastalarý baþlýca þikayeti dispneydi (%81). Plöroken takýlan 4 hastada (%7) pnömoraks geliþti. Takipte baþka komplikasyon görülmedi. Sývý 10 vakada (%18) eksuda 44 vakada (%81) ise transuda özelliði taþýyordu. Ýzlemde 1 (%1,8) hasta öldü. Üç hasta (%5,5) taburcu edildi. Beþ hasta (9,2) sevk edildi. Kýrk beþ hasta (%83) hastaneye yatýrýldý.


TARTIÞMA ve SONUÇ: Acil serviste plevral efüzyon nedeni ile plöroken takýlan bir yýllýk döneme ait 54 vakalýk olgu serisi incelendiðinde hastalarýn tanýsý, etiyolojik nedenler, tedavi ve komplikasyonlar yönünden literatür ile uyumlu sonuçlar elde ettik.

Anahtar Kelimeler: Plevral efüzyon, plöroken, acil servis, dispne, pnomotoraks

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