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Updated: Apr 28, 2026

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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
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この患者さんは排泄性膜流出症ですか? 合理的な臨床試験の体系的なレビュー
M Elizabeth Wilcox1, Christopher A K Y Chong2, Matthew B Stanbrook3
1Department of Medicine, University of Toronto, University Health Network, Toronto, Ontario, Canada.
JAMA
|June 19, 2014
まとめ
Pleural effusionの正確な診断は,ライトの基準,コレステロール,および乳酸脱水素酵素 (LDH) レベルに依存しています. 胸腔切開は一般的に安全ですが,超音波による誘導は肺胸炎のリスクを軽減しません.
科学分野:
- 肺内科 肺内科 肺内科
- 内科内科は,内科の内科である.
- 診断手順 診断手順
背景:
- 胸腔凝縮は,胸腔噴出の原因を診断する上で極めて重要です.
- 一般的には安全ですが,潜在的な合併症には低酸素症,出血,肺胸炎が含まれます.
研究 の 目的:
- トランスジュダティブ・エフジューションとエクスジュダティブ・エフジューションを区別するための証拠を体系的に検討する.
- 合併症のリスクを最小限に抑える胸腔移植の技術を特定する.
主な方法:
- ランダム化および観察研究の体系的レビュー.
- 2014年2月までコクラン図書館,MEDLINE,Embaseで検索しました.
- 分析された診断精度 (確率比) と有害事象発生率.
主要な成果:
- 排泄体の診断は,胸腔液のコレステロール>55 mg/dL,LDH>200 U/L,またはコレステロール/血清コレステロール比>0.3.3で正確である.
- すべてのライトの基準が欠落しているため,エクスズダートの診断は不可能である (LR, 0.04).
- Pneumothoraxは6.0%の症例で発生した;超音波ガイドは,このリスクを軽減しませんでした.
結論:
- 光の基準,コレステロール,およびLDHレベルは,胸腔排泄物を診断するための鍵です.
- 胸腔活化のための超音波ガイドは,肺胸炎の発生率を低下させなかった.
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