흉수(Pleural effusion)

소개글

흉수의 발생기전 및 원인에 대한 자료입니다.

목차

MECHANISMS THAT LEAD TO ACCUMULATION OF PLEURAL FLUID

Radiologic examination

Gross appearance

Light`s criteria

Transudative effusion

CHARACTERISTICS OF PLEURAL FLUID TRANSUDATES

Parapneumonic effusion

Tuberculosis

Malignancy

Rheumatoid arthritis

Systemic lupus erythematosus

CORRELATION OF PLEURAL FLUID EXUDATE FINDINGS AND CAUSATIVE DISEASE

본문내용

흉수의 발생기전 및 원인을 정리함

Malignancy
M/C cause of exudate in pts older than 60 years
Exudate; Abundant red cells (30,000 to 50,000/mL) &
mononuclear cells (lymphocytes >50%)
- transudative (5 to 10%)
1/3 Pt; pH <7.3 or glucose level <60 mg/dL
Cytology; positive in close to 60% of cases
- biopsy increases only to 70%

Rheumatoid arthritis
About 5% of pts with rheumatoid arthritis
- male preponderance
Exudate with low glucose (<30 mg/dL), low pH, & high LDH
Complement level ; generally low
Rheumatoid factor; high titers
Recommended therapy; Anti-inflammatory agents & corticosteroids

참고 자료

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