{"id":16268,"date":"2020-12-02T17:38:17","date_gmt":"2020-12-02T16:38:17","guid":{"rendered":"http:\/\/www.bmscience.net\/blog\/?p=16268"},"modified":"2024-01-27T21:52:29","modified_gmt":"2024-01-27T20:52:29","slug":"la-pleura-e-le-principali-patologie-pleuriche","status":"publish","type":"post","link":"https:\/\/bmscience.net\/blog\/la-pleura-e-le-principali-patologie-pleuriche\/","title":{"rendered":"La pleura e le principali patologie pleuriche"},"content":{"rendered":"\n<p>La pleura \u00e8 quella <strong>tonaca sierosa<\/strong> (simile a quella che ricopre il resto degli organi) che ricopre totalmente i polmoni (<strong>pleura viscerale<\/strong>) e la parete toracica, il diaframma e il mediastino parietale (<strong>pleura parietale<\/strong>).<br>Entrambi gli strati pleurici presentano una superficie e struttura simile: sono composti da mesotelio e tessuto connettivo con vasi sanguigni, linfatici e nervosi. Il drenaggio dei capillari nelle due pleure \u00e8 tuttavia distinto.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2020\/12\/Pleura.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-16269\" src=\"http:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2020\/12\/Pleura.jpg\" alt=\"\" width=\"265\" height=\"210\" srcset=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2020\/12\/Pleura.jpg 378w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2020\/12\/Pleura-300x238.jpg 300w\" sizes=\"auto, (max-width: 265px) 100vw, 265px\" \/><\/a>la <span style=\"text-decoration: underline;\"><strong>pleura parietale<\/strong><\/span> presenta uno spessore uniforme nella parte superiore ed inferiore, i capillari ricevono sangue dalle <strong>arterie intercostali<\/strong> e drenano nella <strong>cava superiore<\/strong>. Possiede fibre nervose sensibili al dolore (<strong>nervi intercostali<\/strong> nella regione della parete costale e <strong>nervo frenico<\/strong> nel diaframma). Il dolore percepito tramite il nervo frenico si pu\u00f2 irradiare alla spalla o nelle regioni superiori.<br>Sono inoltre presenti un gran numero di <strong>lagune linfatiche<\/strong>, ovvero cisterne che si uniscono a formare collettori linfatici, di solito nel sottomesotelio diaframmatico, ma anche <strong>stomi linfatici<\/strong>, <span class=\"VIiyi\" lang=\"it\"><span class=\"JLqJ4b ChMk0b\" data-language-for-alternatives=\"it\" data-language-to-translate-into=\"es\" data-phrase-index=\"0\">aree in cui la rete linfatica \u00e8 pi\u00f9 estesa, favorendo di fatto il drenaggio e il riassorbimento di liquidi.<\/span><\/span><\/li>\n\n\n\n<li>la <span style=\"text-decoration: underline;\"><strong>pleura<\/strong><strong> viscerale<\/strong><\/span> presenta invece uno spessore maggiore nelle basi, mentre diventa pi\u00f9 sottile agli apici (per questo motivo lo pneumotorace spontaneo avviene pi\u00f9 frequentemente nei campi superiori, nella <strong>cupola pleurica<\/strong>).<br>Non possiede stomi linfatici, n\u00e9 fibre nervose sensibili al dolore. I capillari drenano nelle <strong>vene polmonari<\/strong> con una pressione minore.<\/li>\n<\/ul>\n\n\n<div id=\"bmscience864020465\" style=\"margin-top: 15px;margin-bottom: 15px;margin-left: auto;margin-right: auto;text-align: center;\"><a href=\"https:\/\/amzn.to\/3LwxOFy\" target=\"_blank\" aria-label=\"ezgif-15bd77c207ead8f7\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/11\/ezgif-15bd77c207ead8f7.gif\" alt=\"\"  width=\"800\" height=\"160\"  style=\"display: inline-block;\" \/><\/a><\/div>\n\n\n<p>Tra i due foglietti pleurici esiste uno spazio, pi\u00f9 virtuale che reale, con <strong>pressione negativa<\/strong>, responsabile dell&#8217;espansione dei polmoni, chiamato <strong>spazio pleurico<\/strong> che \u00e8 riempito da <strong>liquido pleurico<\/strong> che permette un facile scorrimento delle due pleure durante le fasi respiratorie. Normalmente esiste un equilibrio tra la produzione di liquido pleurico e il suo riassorbimento. Quando questo equilibrio \u00e8 alterato, si possono produrre diverse patologie, anche gravi, come il versamento pleurico.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><a href=\"https:\/\/amzn.to\/3HkowqS\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"678\" height=\"1024\" src=\"https:\/\/www.bmscience.net\/blog\/wp-content\/uploads\/2024\/01\/A1-FCXgNE1L._SL1500_-678x1024.jpg\" alt=\"\" class=\"wp-image-18258\" style=\"width:144px;height:auto\" srcset=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/01\/A1-FCXgNE1L._SL1500_-678x1024.jpg 678w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/01\/A1-FCXgNE1L._SL1500_-199x300.jpg 199w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/01\/A1-FCXgNE1L._SL1500_-768x1160.jpg 768w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2024\/01\/A1-FCXgNE1L._SL1500_.jpg 993w\" sizes=\"auto, (max-width: 678px) 100vw, 678px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"https:\/\/amzn.to\/3HkowqS\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Acquista ora<\/strong><\/a><\/figcaption><\/figure>\n<\/div>\n\n\n<p>Le principali patologie e sindromi pleuriche sono rappresentate da:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.bmscience.net\/blog\/la-pleurite-secca-processo-irritativo-della-pleura\/\"><strong>pleurite secca<\/strong><\/a> o <strong>irritazione<\/strong> <strong>pleurica<\/strong>: infiammazione della pleura senza avere quasi nessun liquido. Tuttavia pu\u00f2 portare ad un versamento pleurico nel quale aumenta la presenza di liquido.<\/li>\n\n\n\n<li><a href=\"http:\/\/www.bmscience.net\/blog\/il-versamento-pleurico-la-sindrome-da-versamento-pleurico\/\"><strong>versamento pleurico<\/strong><\/a>: produzione eccessiva di liquido pleurico.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.bmscience.net\/blog\/la-pachipleurite-sclerosi-polmonare-o-fibrotorace\/\"><strong>pachipleurite<\/strong><\/a>: processo pleuritico cronico nel quale a partire da una pleurite secca o versamento pleurico di lunga durata, si forma una cicatrice che si calcifica, una sclerosi.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.bmscience.net\/blog\/presenza-di-aria-nello-spazio-pleurico-lo-pneumotorace\/\"><strong>pneumotorace<\/strong><\/a>: entrata di aria nello spazio pleurico che porta ad una perdita della pressione negativa.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Fonte: <a href=\"https:\/\/amzn.to\/3ZSxKTS\">Trattato di anatomia umana (Anastasi)<\/a><\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Fonte: <a href=\"https:\/\/amzn.to\/3HgYrZs\" target=\"_blank\" rel=\"noreferrer noopener\">Malattie dell&#8217;apparato respiratorio. Pneumologia e chirurgia toracica.<\/a><\/p>\n<\/blockquote>\n\n\n<div id=\"bmscience3918666403\" style=\"margin-top: 15px;margin-bottom: 15px;margin-left: auto;margin-right: auto;text-align: center;\"><a href=\"https:\/\/amzn.to\/42JxJEC\" target=\"_blank\" aria-label=\"81qrrGXKqhL._SX3000_\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_.jpg\" alt=\"\"  srcset=\"https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_.jpg 2373w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_-300x68.jpg 300w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_-1024x233.jpg 1024w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_-768x175.jpg 768w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_-1536x350.jpg 1536w, https:\/\/bmscience.net\/blog\/wp-content\/uploads\/2025\/05\/81qrrGXKqhL._SX3000_-2048x467.jpg 2048w\" sizes=\"auto, (max-width: 2373px) 100vw, 2373px\" width=\"2373\" height=\"541\"  style=\"display: inline-block;\" \/><\/a><\/div>","protected":false},"excerpt":{"rendered":"<p>La pleura \u00e8 quella tonaca sierosa (simile a quella che ricopre il resto degli organi) che ricopre totalmente i polmoni (pleura viscerale) e la parete toracica, il diaframma e il mediastino parietale (pleura parietale).Entrambi gli strati pleurici presentano una superficie e struttura simile: sono composti da mesotelio e tessuto connettivo con vasi sanguigni, linfatici e&hellip;<\/p>\n<p class=\"more\"><a class=\"more-link\" href=\"https:\/\/bmscience.net\/blog\/la-pleura-e-le-principali-patologie-pleuriche\/\">Continue reading <span class=\"screen-reader-text\">La pleura e le principali patologie pleuriche<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":""},"categories":[40,22],"tags":[747,1407,2125,3243,4163,4270,4492,4773,5142,5145,5467,5771,5772,5773,5774,5776,5793,5798,7039,7177,7552,7916,7943],"class_list":["post-16268","post","type-post","status-publish","format-standard","hentry","category-anatomia","category-pneumologia","tag-arterie-intercostali","tag-cava-superiore","tag-cupola-pleurica","tag-foglietti-pleurici","tag-irritazione-pleurica","tag-lagune-linfatiche","tag-liquido-pleurico","tag-mesotelio","tag-nervi-intercostali","tag-nervo-frenico","tag-pachipleurite","tag-pleura","tag-pleura-parietale","tag-pleura-viscerale","tag-pleure","tag-pleurite-secca","tag-pneumotorace","tag-pneumotorace-spontaneo","tag-spazio-pleurico","tag-stomi-linfatici","tag-tonaca-sierosa","tag-vene-polmonari","tag-versamento-pleurico","entry"],"author_meta":{"display_name":"Raffo Coco","author_link":"https:\/\/bmscience.net\/blog\/author\/raffo\/"},"featured_img":null,"coauthors":[],"tax_additional":{"categories":{"linked":["<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/anatomia\/\" class=\"advgb-post-tax-term\">Anatomia<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">Pneumologia<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">Anatomia<\/span>","<span class=\"advgb-post-tax-term\">Pneumologia<\/span>"]},"tags":{"linked":["<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">arterie intercostali<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">cava superiore<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">cupola pleurica<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">foglietti pleurici<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">irritazione pleurica<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">lagune linfatiche<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">liquido pleurico<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">mesotelio<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">nervi intercostali<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">nervo frenico<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pachipleurite<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pleura<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pleura parietale<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pleura viscerale<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pleure<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pleurite secca<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pneumotorace<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">pneumotorace spontaneo<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">spazio pleurico<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">stomi linfatici<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">tonaca sierosa<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">vene polmonari<\/a>","<a href=\"https:\/\/bmscience.net\/blog\/category\/medicina\/pneumologia\/\" class=\"advgb-post-tax-term\">versamento pleurico<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">arterie intercostali<\/span>","<span class=\"advgb-post-tax-term\">cava superiore<\/span>","<span class=\"advgb-post-tax-term\">cupola pleurica<\/span>","<span class=\"advgb-post-tax-term\">foglietti pleurici<\/span>","<span class=\"advgb-post-tax-term\">irritazione pleurica<\/span>","<span class=\"advgb-post-tax-term\">lagune linfatiche<\/span>","<span class=\"advgb-post-tax-term\">liquido pleurico<\/span>","<span class=\"advgb-post-tax-term\">mesotelio<\/span>","<span class=\"advgb-post-tax-term\">nervi intercostali<\/span>","<span class=\"advgb-post-tax-term\">nervo frenico<\/span>","<span class=\"advgb-post-tax-term\">pachipleurite<\/span>","<span class=\"advgb-post-tax-term\">pleura<\/span>","<span class=\"advgb-post-tax-term\">pleura parietale<\/span>","<span class=\"advgb-post-tax-term\">pleura viscerale<\/span>","<span class=\"advgb-post-tax-term\">pleure<\/span>","<span class=\"advgb-post-tax-term\">pleurite secca<\/span>","<span class=\"advgb-post-tax-term\">pneumotorace<\/span>","<span class=\"advgb-post-tax-term\">pneumotorace spontaneo<\/span>","<span class=\"advgb-post-tax-term\">spazio pleurico<\/span>","<span class=\"advgb-post-tax-term\">stomi linfatici<\/span>","<span class=\"advgb-post-tax-term\">tonaca sierosa<\/span>","<span class=\"advgb-post-tax-term\">vene polmonari<\/span>","<span class=\"advgb-post-tax-term\">versamento pleurico<\/span>"]}},"comment_count":"0","relative_dates":{"created":"Pubblicato 5 anni fa","modified":"Aggiornato 2 anni fa"},"absolute_dates":{"created":"Pubblicato il 02\/12\/2020","modified":"Aggiornato il 27\/01\/2024"},"absolute_dates_time":{"created":"Pubblicato il 02\/12\/2020 17:38","modified":"Aggiornato il 27\/01\/2024 21:52"},"featured_img_caption":"","series_order":"","_links":{"self":[{"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/posts\/16268","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/comments?post=16268"}],"version-history":[{"count":0,"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/posts\/16268\/revisions"}],"wp:attachment":[{"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/media?parent=16268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/categories?post=16268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bmscience.net\/blog\/wp-json\/wp\/v2\/tags?post=16268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}