{"id":2996,"date":"2024-01-02T12:16:24","date_gmt":"2024-01-02T12:16:24","guid":{"rendered":"https:\/\/kleontas.com\/?page_id=2996"},"modified":"2024-05-14T22:35:18","modified_gmt":"2024-05-14T21:35:18","slug":"%ce%ba%ce%b1%ce%ba%ce%bf%ce%ae%ce%b8%ce%b7%cf%82-%cf%80%ce%bb%ce%b5%cf%85%cf%81%ce%b9%cf%84%ce%b9%ce%ba%ce%ae-%cf%83%cf%85%ce%bb%ce%bb%ce%bf%ce%b3%ce%ae","status":"publish","type":"page","link":"http:\/\/kleontas.com\/el\/iatros-thorakoxeirourgos-xeirourgos-thorakos-thorakoxeirourgiki\/%CE%BA%CE%B1%CE%BA%CE%BF%CE%AE%CE%B8%CE%B7%CF%82-%CF%80%CE%BB%CE%B5%CF%85%CF%81%CE%B9%CF%84%CE%B9%CE%BA%CE%AE-%CF%83%CF%85%CE%BB%CE%BB%CE%BF%CE%B3%CE%AE\/","title":{"rendered":"\u039a\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7\u03c2 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae"},"content":{"rendered":"\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

\u039a\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7\u03c2 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae (\u03c5\u03c0\u03b5\u03b6\u03c9\u03ba\u03bf\u03c4\u03b9\u03ba\u03ae) \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\n\n\n<\/b><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

\u0394\u03b9\u03b1\u03c7\u03b5\u03af\u03c1\u03b9\u03c3\u03b7<\/strong>\u00a0\u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd<\/strong>\u00a0\u03bc\u03b5<\/strong>\u00a0\u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7<\/strong>\u00a0\u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae<\/strong>\u00a0\u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae<\/strong><\/span><\/p>

(\u03a4\u03bf \u03ba\u03b5\u03af\u03bc\u03b5\u03bd\u03bf \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u00a0\u03b4\u03b9\u03b4\u03b1\u03ba\u03c4\u03bf\u03c1\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03c4\u03c1\u03b9\u03b2\u03ae \u03c4\u03bf\u03c5 \u0394\u03c1 \u0391\u03b8\u03b1\u03bd\u03ac\u03c3\u03b9\u03bf\u03c5 \u039a\u03bb\u03ad\u03c9\u03bd\u03c4\u03b1<\/a>)<\/em><\/span><\/p>

\u00a0<\/p>

\u0397 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u03c2 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03c9\u03c4\u03bf\u03c0\u03b1\u03b8\u03bf\u03cd\u03c2 \u03b5\u03c3\u03c4\u03af\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03bd\u03b5\u03bf\u03c0\u03bb\u03b1\u03c3\u03af\u03b1\u03c2. \u0388\u03c4\u03c3\u03b9 \u03cc\u03c0\u03c9\u03c2 \u03c6\u03b1\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03be\u03b5\u03ba\u03ac\u03b8\u03b1\u03c1\u03b1 \u03c3\u03b5 \u03bc\u03af\u03b1 \u03bc\u03b5\u03c4\u03b1\u03bd\u03ac\u03bb\u03c5\u03c3\u03b7, \u03b7 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ae \u03b5\u03bc\u03c6\u03ac\u03bd\u03b9\u03c3\u03b7 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u03c2 \u03b2\u03c1\u03af\u03c3\u03ba\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf\u03bd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b1 (37.5%) \u03ba\u03b9 \u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bd \u03bf \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03bc\u03b1\u03c3\u03c4\u03bf\u03cd (16.8%), \u03c4\u03b1 \u03bb\u03b5\u03bc\u03c6\u03ce\u03bc\u03b1\u03c4\u03b1 (11.5%), \u03bf\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03bf\u03c5\u03c1\u03bf\u03b3\u03b5\u03bd\u03bd\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd (9.4%), \u03bf\u03b9 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03b9\u03b5\u03c2 \u03c4\u03bf\u03c5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03bf\u03cd (6.9%) \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2 (85). \u038c\u03bb\u03bf\u03b9 \u03bf\u03b9 \u03b9\u03c3\u03c4\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03bf\u03af \u03c4\u03cd\u03c0\u03bf\u03b9 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ad\u03c3\u03bf\u03c5\u03bd \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae, \u03bc\u03b5 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03cc \u03c4\u03bf \u03b1\u03b4\u03b5\u03bd\u03bf\u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b1 (40% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd) \u03ba\u03b1\u03b9 \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf \u03c3\u03b5 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf \u03bc\u03b9\u03ba\u03c1\u03bf\u03ba\u03c5\u03c4\u03c4\u03b1\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03c9\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c0\u03bd\u03b5\u03cd\u03bc\u03bf\u03bd\u03b1 (25% \u03c4\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03c9\u03bd) (98). \u0397 \u03bc\u03ad\u03c3\u03b7 \u03b5\u03c0\u03b9\u03b2\u03af\u03c9\u03c3\u03b7 \u03b1\u03c5\u03c4\u03ce\u03bd \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03bf\u03ba\u03c4\u03ce \u03bc\u03ae\u03bd\u03b5\u03c2, \u03b5\u03bd\u03ce \u03b7 \u03c0\u03b5\u03bd\u03c4\u03b1\u03b5\u03c4\u03ae\u03c2 \u03b5\u03c0\u03b9\u03b2\u03af\u03c9\u03c3\u03b7 \u03b4\u03b5\u03bd \u03be\u03b5\u03c0\u03b5\u03c1\u03bd\u03ac \u03c4\u03bf 2% (99).<\/span><\/p>

\u00a0<\/p>

\u00a0<\/p>

<\/strong><\/span><\/p>

\u03a3\u03c7\u03ae\u03bc\u03b1 9<\/strong><\/span><\/p>

\u0391\u03bb\u03b3\u03cc\u03c1\u03b9\u03b8\u03bc\u03bf\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u00a0<\/strong>(97)<\/span><\/p>

\u039c\u03b5\u03c4\u03b1\u03c6\u03c1\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf \u03b1\u03c0\u03cc: Fig. 5 Recommendations of diagnosis and treatment of\u00a0pleural\u00a0effusion. Update.<\/span><\/p>

Villena Garrido et al<\/span><\/p>

Arch Bronconeumol.\u00a02014 Jun;50(6):235-49.<\/span><\/p>

\u00a0<\/p>

\u00a0<\/p>

<\/span><\/p>

\u03a3\u03c7\u03ae\u03bc\u03b1 10<\/strong><\/span><\/p>

\u0391\u03bb\u03b3\u03cc\u03c1\u03b9\u03b8\u03bc\u03bf\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u00a0<\/strong>(85)<\/span><\/p>

\u039c\u03b5\u03c4\u03b1\u03c6\u03c1\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf \u00a0\u03b1\u03c0\u03cc: Fig. 1 Management of a malignant pleural effusion:<\/span><\/p>

British Thoracic Society pleural disease guideline<\/span><\/p>

Mark E. Roberts et al<\/span><\/p>

Thorax 2010;65(Suppl 2):ii32eii40<\/span><\/p>

\u00a0<\/p>

\u00a0<\/p>

<\/span><\/p>

\u03a3\u03c7\u03ae\u03bc\u03b1 11<\/strong><\/span><\/p>

\u0391\u03bb\u03b3\u03cc\u03c1\u03b9\u03b8\u03bc\u03bf\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b7 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u00a0<\/strong>(97)<\/span><\/p>

\u039c\u03b5\u03c4\u03b1\u03c6\u03c1\u03b1\u03c3\u03bc\u03ad\u03bd\u03bf\u00a0 \u03b1\u03c0\u03cc: Fig.6\u00a0 Malignant pleural effusion and algorithm management<\/span><\/p>

Konstantinos Zarogoulidis et al<\/span><\/p>

J Thorac Dis 2013;5(S4):S413-S419<\/span><\/p>

\u00a0<\/p>

\u00a0<\/p>

\u03a3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03ba\u03b1\u03c4\u03b1\u03c4\u03ac\u03c3\u03c3\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03bf \u03af\u03b4\u03b9\u03bf \u03c3\u03c4\u03ac\u03b4\u03b9\u03bf \u03ba\u03b1\u03c4\u03ac TNM, \u03b1\u03bb\u03bb\u03ac \u03b4\u03b5\u03bd \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae, \u03c4\u03cc\u03c3\u03bf \u03b7 \u03bc\u03ad\u03c3\u03b7 \u03b5\u03c0\u03b9\u03b2\u03af\u03c9\u03c3\u03b7, \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03b7 \u03c0\u03b5\u03bd\u03c4\u03b1\u03b5\u03c4\u03ae\u03c2 \u03b5\u03c0\u03b9\u03b2\u03af\u03c9\u03c3\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03c3\u03bc\u03b5\u03bd\u03ad\u03c3\u03c4\u03b5\u03c1\u03b7, \u03c3\u03c4\u03b1\u03c4\u03b9\u03c3\u03c4\u03b9\u03ba\u03ce\u03c2 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac (p=0.0001), \u03c3\u03c4\u03bf\u03c5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae (8 \u03bc\u03ae\u03bd\u03b5\u03c2 VS 13 \u03bc\u03ae\u03bd\u03b5\u03c2 \u03ba\u03b1\u03b9 2% VS 13%) (100).<\/span><\/p>

\u03a0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03bf\u03b9 \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c0\u03b9\u03bf \u03b3\u03bd\u03c9\u03c3\u03c4\u03bf\u03af \u03b1\u03bb\u03b3\u03cc\u03c1\u03b9\u03b8\u03bc\u03bf\u03b9 \u03b4\u03b9\u03b1\u03c7\u03b5\u03af\u03c1\u03b9\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03bf\u03c5\u03c2 \u03c0\u03bb\u03b5\u03c5\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bb\u03bb\u03bf\u03b3\u03ae\u03c2, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03bf\u03b9 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03b6\u03bf\u03c5\u03bd \u03c0\u03bf\u03bb\u03bb\u03ac \u03ba\u03bf\u03b9\u03bd\u03ac \u03c3\u03b7\u03bc\u03b5\u03af\u03b1, \u03b5\u03bd\u03ce \u03c3\u03b5 \u03ba\u03ac\u03c0\u03bf\u03b9\u03b1 \u03ac\u03bb\u03bb\u03b1, \u03c3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03ce\u03bd\u03bf\u03c5\u03bd \u03bf \u03ad\u03bd\u03b1\u03c2 \u03c4\u03bf\u03bd \u03ac\u03bb\u03bb\u03bf (\u03a3\u03c7\u03ae\u03bc\u03b1\u03c4\u03b1 9-11) (85,97,101).<\/span><\/p>

\u00a0<\/p>

\u039a\u03b1\u03c4\u03b5\u03c5\u03b8\u03c5\u03bd\u03c4\u03ae\u03c1\u03b9\u03b5\u03c2 \u03bf\u03b4\u03b7\u03b3\u03af\u03b5\u03c2<\/span><\/h3>