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頁籤選單縮合
題 名 | Usefulness of Thoracic Ultrasonography in Differential Diagnosis of Empyema and Chylothorax=超音波檢查對於膿胸與乳糜胸的鑑別診斷有所幫助 |
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作 者 | 陳育民; 施振甫; 李毓芹; 彭瑞鵬; | 書刊名 | 胸腔醫學 |
卷 期 | 13:4 1998.12[民87.12] |
頁 次 | 頁225-230 |
分類號 | 415.432 |
關鍵詞 | 乳糜胸; 膿胸; 超音波檢查; Chylothorax; Empyema; Ultrasonography; |
語 文 | 英文(English) |
中文摘要 | 膿胸與乳糜胸的肋膜液顏色可能相似,例如乳白色或乳黃色。處理膿 胸時,除了抗生素外,也常須要即刻與充足地引流。我們回顧我們的超音波記錄, 以決定胸腔超音波檢查是否對於膿胸與乳糜胸的鑑別診斷有所幫助。從民國八十 六年一月到十二月,共有十三例膿胸與八例乳糜胸記錄可供參考。膿胸病患平均 年齡64歲,乳糜胸病患平均年齡73歲,我們的結果顯示使用胸腔超音波檢查可 以很快對肋膜腔積水定位,而且包括膿胸與乳糜胸均可很快速引流。局限性,有 分隔,與漂浮的纖維帶,常見於膿胸,而沒有在乳糜胸出現。乳糜胸常以簡單或 是不分隔的超音波表現為主。在統計上,膿胸與乳糜胸超音波表現有意義的差別 包括:局限性,有分隔,與肋膜變厚。使用這些超音波的特點,可以幫助醫師決 定是否立即放置導管引流。 |
英文摘要 | The fluid of empyema and chylothorax may be similar in appearance such as milky-like. The management of patients with empyema frequently needs immediate and adequate drainage of infected effusion in addition to antibiotics; which is different from management of chylothorax. We retrospectively reviewed our ultrasonographic records to determine whether thoracic ultrasonography is useful for differential diagnosis of empyema and chylothorax, when both presented with milky or cafe-au-lait like fluid. Thirteen cases of empyema and 8 cases of chylothorax were collected from January to December 1997. Mean age of patients with empyema was 64 year-old. Mean age of patients with chylothorax was 73 year-old. The results of our study showed that use of sonography allows rapid localization of pleural fluid collections and instant drainage of fluid collection, including empyema and chylothorax. Loculation, septation and floating fibrin strand, which were usually found in empyema, was not found in chylothorax. Chylothorax commonly presented with simple or non-septated ultrasonic findings. There are statistically significant difference of ultrasonographic findings in loculation, septation, and pleural thickening between empyema and chylothorax. Use of these ultrasonographic findings can help doctors in decision making of immediate catheter drainage of pleural effusion or not. |
本系統中英文摘要資訊取自各篇刊載內容。