Titre : Empyème pleural

Empyème pleural : Questions médicales fréquentes

Termes MeSH sélectionnés :

Platelet Function Tests
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"Complications", "headline": "Complications sur Empyème pleural", "description": "Quelles sont les complications possibles d'un empyème ?\nL'empyème peut-il entraîner des séquelles ?\nComment prévenir les complications ?\nLes complications sont-elles fréquentes ?\nQuelles sont les conséquences d'une septicémie liée à un empyème ?", "url": "https://questionsmedicales.fr/mesh/D016724?mesh_terms=Platelet+Function+Tests&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Empyème pleural", "description": "Quels sont les principaux facteurs de risque d'empyème ?\nLes antécédents médicaux influencent-ils le risque ?\nLe système immunitaire joue-t-il un rôle ?\nLes conditions de vie affectent-elles le risque ?\nLes maladies pulmonaires chroniques sont-elles un facteur de risque ?", "url": "https://questionsmedicales.fr/mesh/D016724?mesh_terms=Platelet+Function+Tests&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on un empyème pleural ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic se fait par imagerie (radiographie, échographie) et analyse du liquide pleural." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour confirmer un empyème ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Une thoracocentèse permet d'analyser le liquide pleural pour confirmer l'infection." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent un empyème ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleur thoracique, dyspnée et toux productive sont des signes fréquents." } }, { "@type": "Question", "name": "L'imagerie est-elle toujours nécessaire ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'imagerie est essentielle pour évaluer l'étendue de l'empyème et guider le traitement." } }, { "@type": "Question", "name": "Peut-on confondre un empyème avec une autre condition ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il peut être confondu avec une pneumonie ou un abcès pulmonaire sans analyse précise." } }, { "@type": "Question", "name": "Quels sont les symptômes principaux d'un empyème ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent fièvre, toux, douleur thoracique et essoufflement." } }, { "@type": "Question", "name": "L'empyème provoque-t-il des douleurs ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur thoracique est fréquente, souvent aggravée par la respiration ou la toux." } }, { "@type": "Question", "name": "Y a-t-il des symptômes systémiques associés ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes comme fatigue, malaise général et perte d'appétit peuvent survenir." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon l'âge ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les enfants peuvent présenter des symptômes moins spécifiques que les adultes." } }, { "@type": "Question", "name": "Un empyème peut-il être asymptomatique ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Dans certains cas, un empyème peut être asymptomatique, surtout à ses débuts." } }, { "@type": "Question", "name": "Comment prévenir un empyème pleural ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par le traitement rapide des infections pulmonaires et des maladies sous-jacentes." } }, { "@type": "Question", "name": "Les vaccinations aident-elles à prévenir l'empyème ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les vaccinations contre la pneumonie peuvent réduire le risque d'empyème." } }, { "@type": "Question", "name": "Y a-t-il des mesures d'hygiène à respecter ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène et éviter le tabagisme peuvent aider à prévenir les infections." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus à risque ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées ont un risque accru d'empyème en raison de leur santé générale." } }, { "@type": "Question", "name": "Le traitement des maladies chroniques aide-t-il ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un bon contrôle des maladies chroniques peut réduire le risque d'empyème." } }, { "@type": "Question", "name": "Quel est le traitement principal de l'empyème ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est le drainage du liquide pleural, souvent par thoracocentèse." } }, { "@type": "Question", "name": "Des antibiotiques sont-ils nécessaires ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antibiotiques sont prescrits pour traiter l'infection sous-jacente." } }, { "@type": "Question", "name": "Quand une intervention chirurgicale est-elle requise ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une intervention chirurgicale est nécessaire si le drainage ne suffit pas ou en cas de complications." } }, { "@type": "Question", "name": "Le traitement est-il différent chez les enfants ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement est similaire, mais les doses et les approches peuvent varier selon l'âge." } }, { "@type": "Question", "name": "Quels soins de suivi sont nécessaires après traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi régulier est essentiel pour surveiller la guérison et prévenir les récidives." } }, { "@type": "Question", "name": "Quelles sont les complications possibles d'un empyème ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent la fibrose pleurale, l'insuffisance respiratoire et la septicémie." } }, { "@type": "Question", "name": "L'empyème peut-il entraîner des séquelles ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des séquelles comme des douleurs thoraciques chroniques ou des limitations respiratoires peuvent survenir." } }, { "@type": "Question", "name": "Comment prévenir les complications ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Un traitement précoce et approprié de l'empyème est essentiel pour prévenir les complications." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent survenir, surtout si l'empyème n'est pas traité rapidement." } }, { "@type": "Question", "name": "Quelles sont les conséquences d'une septicémie liée à un empyème ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "La septicémie peut entraîner un choc septique, des défaillances d'organes et un risque de mortalité." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque d'empyème ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les infections pulmonaires, le tabagisme et les maladies chroniques augmentent le risque." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de pneumonie ou de chirurgie thoracique augmentent le risque d'empyème." } }, { "@type": "Question", "name": "Le système immunitaire joue-t-il un rôle ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un système immunitaire affaibli augmente le risque d'infections et d'empyème." } }, { "@type": "Question", "name": "Les conditions de vie affectent-elles le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des conditions de vie précaires ou surpeuplées peuvent augmenter le risque d'infections." } }, { "@type": "Question", "name": "Les maladies pulmonaires chroniques sont-elles un facteur de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des maladies comme la BPCO augmentent le risque d'empyème en raison de l'inflammation." } } ] } ] }

Sources (10000 au total)

On-treatment platelet reactivity through the thromboxane A

Pelacarsen decreases plasma levels of lipoprotein(a) [Lp(a)] and oxidized phospholipids (OxPL). It was previously reported that pelacarsen does not affect the platelet count. We now report the effect ... Subjects with established cardiovascular disease and screening Lp(a) levels ≥60 mg per deciliter (~ ≥150 nmol/L) were randomized to receive pelacarsen (20, 40, or 60 mg every 4 weeks; 20 mg every 2 we... Of the 286 subjects randomized, 275 had either an ARU or PRU test, 159 (57.8%) were on aspirin alone and 94 (34.2%) subjects were on dual anti-platelet therapy. As expected, the baseline ARU and PRU w... Pelacarsen does not modify on-treatment platelet reactivity through the thromboxane A...

Multicenter evaluation of light transmission platelet aggregation reagents: communication from the ISTH SSC Subcommittee on Platelet Physiology.

Light transmission aggregation (LTA) is used widely by the clinical and research communities. Although it is a gold standard, there is a lack of interlaboratory harmonization.... The primary objective was to assess whether sources of activators (mainly adenosine diphosphate [ADP], collagen, arachidonic acid, epinephrine, and thrombin receptor activating peptide6) and ristoceti... An international multicenter study involving 28 laboratories in which we compared LTA results obtained with center-specific activators and a comparator that we supplied.... We report variability in the potency (P) of activators in comparison with the comparator. Thrombin receptor activating peptide 6 (P, 1.32-2.68), arachidonic acid (P, 0.87-1.43), and epinephrine (P, 0.... Based on these data, the establishment and adoption of simple standardization principles should mitigate variability due to activator sources. The observation of huge interindividual variability for c...

Postinjury platelet aggregation and venous thromboembolism.

Posttraumatic venous thromboembolism (VTE) remains prevalent in severely injured patients despite chemoprophylaxis. Importantly, although platelets are central to thrombosis, they are not routinely ta... We performed a secondary analysis of 133 severely injured patients from a prospective observational study investigating coagulation and inflammation (2011-2019). Platelet aggregation in response to st... The 133 patients were severely injured (median Injury Severity Score, 25), and 14% developed VTE (all >48 hours after admission). At presentation, platelet count and PA were not significantly differen... Severely injured patients with decreasing ex vivo measures of PA despite resuscitation have an increased risk of developing VTE. This may have implications for predicting development of VTE and for st... Prognostic/Epidemiological; Level III....

Gamma and X-ray irradiation do not affect the in vitro quality of refrigerated apheresis platelets in platelet additive solution (PAS-E).

Platelet refrigeration (cold storage) provides the advantages of an extended shelf life and reduces the risk of bacterial growth, compared to platelets stored at room temperature (RT). However, proces... Triple-dose apheresis platelets were collected in 40% plasma/60% PAS-E, using the TRIMA apheresis platform, and refrigerated (2-6°C) within 8 h of collection. On day 2, one of each component was gamma... The platelet concentration decreased by approximately 20% in all groups during 21 days of storage (p > .05). Irradiation (gamma or X-ray) did not affect platelet metabolism, and the pH was maintained ... Gamma and X-ray irradiation do not affect the in vitro quality of platelet components stored in the cold for up to 21 days. This demonstrates the acceptability of irradiating cold-stored platelets, wh...

In vitro quality of cold and delayed cold-stored platelet concentrates from interim platelet units during storage for 21 days.

Based on previous success using apheresis platelets, we wanted to investigate the in vitro quality and platelet function in continuously cold-stored and delayed cold-stored platelet concentrates (PCs)... We used a pool-and-split design to prepare 18 identical pairs of PCs. One unit was stored unagitated and refrigerated after production on day 1 (cold-stored). The other unit was stored agitated at roo... All PCs complied with European recommendations (EDQM 20th edition). Both groups had mean platelet content >200 × 10... Our findings suggest that PCs from IPUs are suitable for cold storage from day 1 until day 21 and delayed cold storage from day 5 until day 14....

Hyperbaric treatment of platelets extends in vitro storage to 14 days.

Platelets for transfusion have a storage time of 5-7 days at 22°C-24°C, which results in a strain on the supply chain and supply shortages. We describe a novel method to extend platelet storage using ... Apheresis platelets (APU) prepared in 65% platelet additive solution (PAS) were stored under standard conditions (SC) at 20°C-24°C to Day 5. Paired APUs were prepared with Xe and stored to Day 14 at 2... XHC platelets were viable out to Day 14. The average pH of Day 14 platelets was 6.58, and 86% maintained some degree of swirl compared with 7.02 and 100% swirl for Day 5 SC platelets. The rate of glyc... Platelet storage with the Xe/hyperbaric/cold method is a feasible candidate for extension of storage to 14 days based on in vitro characteristics. In vivo recovery and survival studies are indicated. ...

Cell Surface Platelet Tissue Factor Expression: Regulation by P2Y

ADP-induced platelet activation leads to cell surface expression of several proteins, including TF (tissue factor). The role of ADP receptors in platelet TF modulation is still unknown. We aimed to as... The effects of P2Y... In blood from healthy subjects, stimulated in vitro by ADP, the percentage of TF... Data show that TF expression is regulated by P2Y...