Routine examination of pleural and ascites

Routine examination of the chest and ascites is to check the liquid content of the human chest and abdomen, including appearance, specific gravity, mucin qualitative test, cell count, white blood cell count. The ratio of mononuclear and multinucleated leukocytes. If there is no special requirement, it is not necessary to classify the dye. Mainly used to distinguish the nature of pleural effusion. The purpose of the experiment was to identify leaks and exudates. Basic Information Specialist classification: Respiratory examination classification: chest and ascites examination Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The result of the negative test is generally normal. Positive: Positive test results suggest that there may be diseases such as cirrhosis, nephrotic syndrome, severe dystrophic anemia. Tips: Before the check, the taboo is poor, the diet is not proper, and the fatigue is excessive. Normal value Normal people generally do not have a large amount of effusion in the thoracic and abdominal cavity, and the result of the examination is not checked for a large amount of effusion. Clinical significance Abnormal result 1 plasma osmotic pressure decreased, such as cirrhosis, nephrotic syndrome, severe dystrophic anemia; 2 increased intravascular pressure, such as chronic heart failure; 3 lymphatic obstruction, such as filariasis tumor compression. Exudates are inflammatory fluids that are common in bacterial infections. The people who need to be examined have people with chest and ascites. Positive results may be diseases: pancreatic fistula, pediatric hereditary fructose intolerance, pancreatic stone disease, cirrhosis, ascites, precautions Taboo before the examination: poor rest, improper diet, excessive fatigue. Requirements for inspection: Actively cooperate with the doctor's work. Inspection process Take a certain amount of sample and test and judge its properties. 1. The appearance of the leakage liquid is mostly yellowish, thin and transparent. The color of the leaking liquid is different, and it is turbid. The specific gravity of the leakage liquid is often less than 1.018, and the leakage liquid generally does not condense by itself. The mucin test (Lee test) was negative. The number of cells in non-inflammatory leaks is small, often less than 300 μl. Leakage is caused by non-inflammatory factors. 2. The appearance of exudate is mostly dark yellow turbid, bloody, purulent; the specific gravity is often greater than 1.018. The exudate is easy to coagulate due to fibrinogen and tissue, and the cell destroys the released thromboplastin. Mucin profiling, serosal epithelial cells stimulate mucin secretion under the stimulation of inflammatory response, so the mucin test was positive in the exudate. Microscopic examination, the number of cells in the inflammatory exudate is often greater than 500 μl. Exudates are mostly caused by inflammatory factors. Not suitable for the crowd The test is less invasive and generally has no specific contraindications. Adverse reactions and risks 1, repeated pumping, easy to cause increased ascites, and the loss of a large amount of body fluid protein during the treatment process, the need for long-term input of protein to maintain the traditional Western medicine treatment, but also the depleted body worse, nausea, vomiting, pain, fever, white blood cell decline It is difficult for patients to bear, and it will seriously damage other organs of patients, which is more harmful than good. 2. Risk of infection: If you use an unclean needle, you may be at risk of infection.