What exactly are pleural diseases?

Patient's question:

Recently, I've been experiencing chest pain and tightness in my chest. The hospital examination indicated a respiratory disease, but the medication hasn't been very effective. Recently, my cough has worsened. What exactly are pleural diseases?

Doctor's answer:

Discomfort in the chest and difficulty breathing. It can be caused by conditions such as cardiogenic shock, pleurisy, empyema, hemothorax, pleural effusion, pleural tumors, and others. The clinical manifestations differ depending on the specific condition. Pleural diseases are typically caused by cardiovascular system disorders or diseases affecting the lung parenchyma. The accumulation of a large amount of fluid or gas in the pleural cavity, especially when it leads to a rapid increase in intrapleural pressure, can reduce venous return to the heart, resulting in cardiogenic shock (such as tension pneumothorax). Pleural diseases include primary diseases of the pleura, primarily referring to pleural mesothelioma, as well as abnormalities within the pleural cavity, such as empyema, hemothorax, and pleural effusion.

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