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ID:50199446
大小:213.00 KB
页数:52页
时间:2020-03-09
《胸腔积液诊断与治疗(52页).ppt》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、DiagnosisandManagementofPleuralEffusionsDiagnosisofPleuralEffusionsChestRadiographPleuralFluidastheOnlyAbnormalityWithPrimaryDiseaseintheChestBilateralEffusionsDiseasesBelowtheDiaphragmInterstitialLungDiseasePulmonaryNodules31.PleuralFluidastheOnlyAbnormalityWithPri
2、maryDiseaseintheChestinfectionstuberculousandviralpleurisymalignancycancer,non-Hodgkin'slymphoma,andleukemiapulmonaryembolismdrug-inducedlungdiseasebenignasbestospleuraleffusion(BAPE)lymphaticabnormalitieschylothoraxandyellownailsyndromeuremicpleurisyconstrictiveper
3、icarditishypothyroidism42.BilateralEffusionstransudativeeffusionscongestiveheartfailurenephroticsyndromehypoalbuminemiaperitonealdialysisconstrictivepericarditisexudativeeffusionsmalignancy(extrapulmonicprimarycarcinomas,lymphoma)lupuspleuritisyellownailsyndrome53.D
4、iseasesBelowtheDiaphragmtransudateshepatichydrothoraxnephroticsyndromeurinothoraxperitonealdialysisexudatespancreaticdiseasechylousascitessubphrenicabscesssplenicabscessorinfarction64.InterstitialLungDiseasecongestiveheartfailurerheumatoidarthritisasbestos-induceddi
5、sease(BAPEandasbestosis)lymphangiticcarcinomatosisLymphangioleiomyomatosisviralandmycoplasmapneumoniasWaldenström'smacroglobulinemiasarcoidosisPneumocystiscariniipneumonia75.PulmonaryNodulesmostcommoncausesmetastaticcarcinomafromanonlungprimarytumor.Lesscommoncauses
6、Wegener'sranulomatosisrheumatoidarthritissepticembolisarcoidosistularemia8ValueofPleuralFluidAnalysisInaprospectivestudyof78patientswithnew-onsetpleuraleffusion,adefinitivediagnosiswasestablishedbytheinitialpleuralfluidanalysisin25%,apresumptivediagnosisin55%,withth
7、eremaining20%havinganondiagnosticpleuralfluidanalysis.(excludingpossiblediagnoses)9ValueofPleuralFluidAnalysistheinitialpleuralfluidanalysisiseitherdefinitivelyorpresumptivelydiagnosticin80%ofpatientsandisvaluableclinicallyinabout90%ofcases.10Diagnosesthatcanbedefin
8、itivelyempyema(pus)malignancytuberculousfungallupuspleuritis(lupuserythematosuscells)chylothorax(triglycerides>110mg/dLorpresenceofchylomi
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