淋巴状围液作为围透析中状废水的一个变体:关于新诊断术语的建议
Nigel Fernandez-Carlos1, Maria L Ocampo1, Carlos G Musso1
1Nephrology Division. Hospital Italiano de Buenos Aires. Buenos Aires, Argentina.
概括
阴暗的腹透析液可能表明感染或其他问题. 这个案例描述了一种独特的乳状废水,称为"淋巴管液",在接受腹腔透析的患者中,它不是状或伪状.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 腹腔周围透析 腹腔周围透析
- 胃肠病学 胃肠病学
背景情况:
- 阴腹膜透析废水通常表明感染性腹膜炎或非传染性原因.
- 阴云废水的病因可能包括细胞性增加或细胞数量低/无细胞数量,在后者中纤维素或脂肪有助于诊断.
- 白,阴的外观往往表明脂肪含量高 (chyloperitoneum),源于药物学,创伤或炎症来源.
研究的目的:
- 报告一个新型病例的,无细胞腹腔内排泄物与一个牛奶般的外观在一个病人5期慢性病在连续的门诊腹腔内透析.
- 为了研究这种独特的废水的病因,该废水呈现出阴性培养和低甘油三和胆固醇水平.
- 提出一个新的术语",淋巴管液",来描述这种类似淋巴液但缺乏高脂含量的腹内液的特定类型.
主要方法:
- 一名患有5期慢性病的患者的病例报告,开始持续的门诊腹膜透析.
- 腹腔排泄物分析细胞性,纤维素或脂肪的存在,以及物理化学评估,包括甘油三和胆固醇水平.
- 微生物培养排除感染性周周炎.
主要成果:
- 患者呈现出乱的,无细胞的腹内液,呈现出一种乳状的,状的外观.
- 物理化学评估显示了低水平的甘油三和胆固醇.
- 培养物是负的,排除了传染性腹膜炎.
结论:
- 由于脂质水平较低,所描述的废水不符合化或伪化液的标准.
- 建议使用术语"淋巴管液"来描述这种类似淋巴液的乳状废水.
- 这代表了这种废水的第一个报告案例,以及在文献中提出一个特定的描述性术语的建议.
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