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2006AAFP成人胸腔积液诊断方法

2014-06-06 16:25阅读: 来源:爱爱医责任编辑:张子玲
[导读] The first step in the evaluation of patients with pleural effusion is to determine whether the effu-sion is a transudate or an exudate. An exudative effusion is diagnosed if the patient meets Light'scriteria.
    《2006AAFP成人胸腔积液诊断方法》内容简介:

    Transudates result from imbalances inhydrostatic and oncotic forces and are causedby a limited number of recognized clinicalconditions such as heart failure and cirrho-sis. Less common causes include nephroticsyndrome, atelectasis, peritoneal dialysis,constrictive pericarditis, superior vena cavalobstruction, and urinothorax.

    《2006AAFP成人胸腔积液诊断方法》内容预览:

    8. Porcel JM, Vives M, Vicente de Vera MC, Cao G, RubioM, Rivas MC. Useful tests on pleural fluid that distin-guish transudates from exudates. Ann Clin Biochem2001;38:671-5.

    9. Romero-Candeira S, Fernández C, Martín C, Sánchez-Paya J, Hernández L. Influence of diuretics on the con-centration of proteins and other components of pleuraltransudates in patients with heart failure. Am J Med2001;110:681-6.

    10. Romero-Candeira S, Hernández L. The separation oftransudates and exudates with particular reference to theprotein gradient. Curr Opin Pulm Med 2004;10:294-8.

    11. Heffner JE, Highland K, Brown LK. A meta-analysisderivation of continuous likelihood ratios for diagnos-ing pleural fluid exudates. Am J Respir Crit Care Med2003;167:1591-9.

    12. Barnes TW, Olson EJ, Morgenthaler TI, Edson RS,Decker PA, Ryu JH. Low yield of microbiologic studieson pleural fluid specimens. Chest 2005;127:916-21.

    13. Sahn SA, Heffner JE. Pleural fluid analysis. In: Light RW,Gary Lee YC. Textbook of pleural diseases. London:Arnold, 2003:191-209.

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