阿摩線上測驗
45.張小姐因肺炎治療一星期後持續發燒且出現胸痛的症狀，胸部X光檢查發現右側肋膜積液（pleural
effusion），下列肋膜積液生化檢查的結果，何者最應積極引流治療？
(A)pH = 7.3
(B)glucose = 38 mg/dL
(C)LDH = 700 U/L
(D)WBC = 7000/μL
答案：登入後查看
統計： A(18), B(485), C(301), D(176), E(0) #3064330
統計： A(18), B(485), C(301), D(176), E(0) #3064330
詳解 (共 4 筆)
上山了的水蛭
#6447539
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由小麻可知complicated (gram stain/cx positive、pH < 7.2、glu 60)或一抽出來就看到是pus就要tube thoracostomy
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Uncomplicated的WBC可以到4萬
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Lexie Grey
#5840253
A low pleural glucose concentration (30-50 mg/dL) suggests malignant effusion, tuberculous pleuritis, esophageal rupture, or lupus pleuritis. A very low pleural glucose concentration (ie, < 30 mg/dL) further restricts diagnostic possibilities, to rheumatoid pleurisy or empyema.
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