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Diagnosis and treatment of splenic abscess


Epigastric pain and spleen percussion pain. Treatment of splenic abscess. Surgical removal of previously reported herein are more askance dirty ho. I] said, crossing the mid-mouth horses, and 318 patients with pleural effusion of the hospital should * Forest City officials. Lan Wong falling Community Hospital from 1984 to 1997 cases of pleural effusion were treated 318 patients with clinical data are as follows 1, General Information 318 l1 down, male 197, female 121 cases; the youngest 91 years old 10 years old, the largest average age of 385 years. the nature of pleural effusion effusion l2 165 back, 108 back leakage of fluid, fluid in 45 cases under the typical bear; right side of the 136 down the left side in 121 cases. Both sides of the 61 down. Cause of cancer, pleural effusion 13 pleural effusion 79 down, 28 cases in which lung cancer, esophageal cancer,[link widoczny dla zalogowanych], responsible for the door in 31 cases, 12 cases of pleural mesothelial Cave, liver, 8 down. Non-malignant pleural fluid of 220 cases trifoliate. 103 of them fell hepatic tuberculosis 43 down, 38 cases of suppurative renal 20 cases, connective tissue diseases ll cases, 5 cases of chylous. Because about 19 cases under the Ming. 14 103 cases of complications of pulmonary tuberculosis with tuberculous pleurisy in 24 cases, a packet of tuberculous inflammation in 6 cases, 4 cases of pneumonia, empyema 1 down, 1 case of lung cancer. Taiwan, 20 cases of septic and toxic myocarditis in 3 patients. 79 down malignant pleural effusion tamponade in 7 cases, 43 cases of hepatic transudate down pericarditis combined 38 3 Li solution combined renal Slide 4 cases pericarditis. 2 0 ESR laboratory tests: ESR 243 deletion, 198 cases increased to a maximum of 150mmh tuberculous pleurisy. 79 cases of 23 cases of lung cancer increased erythrocyte sedimentation rate measured pleural fluid CEA @ 【C team arrived in thickness) measured: detection, 183 down, 63 patients with malignant pleural fluid CEA> 2Oug/ml 49 down, up to 63ug/ml, benign breast fluid is not increased. 0 pleural fluid ferritin (S-F) determined: detection of 103 cases. > 500mg of 52 cases, including 41 cases of malignant pleural effusion. ④ pleural fluid alpha-fetoprotein (AFP) determination: 8 cases of primary liver cancer have shown elevated pleural fluid AFP, and the remaining normal pleural fluid pleural fluid cytology ⑤: Malignant pleural effusion between 5 down to find helmet cells, 28 cases find the abnormal cells. / T {(7L2 318 down to discuss the three z.317.3 pleural effusion accounted for 220 cases of benign and malignant accounted for 79 down, 19 cases of unknown cause. To confirm the diagnosis must end station history, signs and laboratory tests to identify pleural effusion the nature and causes. 31 exudate and transudate identification except under the cause, appearance, specific gravity, protein, glucose quantification, cell number and other identification, but not typical of some indicators can be used to identify Light: ① pleural fluid protein / serum protein> 05; @ pleural fluid LDH> 2OOu / l, 0 pleural fluid LDH / serum L cafes> 06. If the three skills, the greater diagnostic value of exudate. 32 Identification of various causes (1) supporting diagnosis Index: Agriculture of noon on the water. glucose content of less than 20mg/dl, malignant pleural effusion often more than 60mg/dl. effusion of hyaluronic acid than 08mg/d1 support pleural mesothelioma. amylase, rheumatoid factor, such as complement and lymphocyte specific etiologic diagnosis of a certain value. oT strong positive test of tuberculous pleural effusion tips help contribute to TB is increased lysozyme and purulent pleural fluid in the differential diagnosis. chest measurement of differential cross CEA is important in benign and malignant pleural effusion. The 63 cases of malignant pleural effusion increased in 49 cases, and benign pleural effusion in 1 case 120W ~ hJ no increase. In addition swollen cells with a strong platform cave into the ability of ferritin. The 41 patients malignant pleural effusion increased normal S-F test. simultaneous detection of CEA and S-F can improve the diagnostic rate of malignant pleural effusion. 【2) confirmed the cause indicators: patient thickness, cytology and histopathology examination is confirmed cause of pleural effusion main method. Building Science} H disease cytology examination samples. Best to get the bottom of pleural effusion. And rushed back and forth with a needle aspiration, the precipitate in the bottom of the cell suspension in the pleural effusion. After taking to improve the detection rate. 5 cases of pleural effusion in this group find the anaplastic cells, diagnosed as pleural mesothelioma, 28 down to find abnormal cells.