術後CXR 適應症:

1.在穿刺的過程中抽到空氣啦

2.臨床進展胸痛/呼吸困難/低血氧

3.是重症加護病患或使用呼吸器者

併發症:

輕微:疼痛   咳嗽   局部感染

嚴重:血胸  腹內器官傷害 擴張性後肺水種(按此下載)(post-expansion lung edema)(不要放太多肋膜積水)(按此下載)

According to a meta-analysis, exudative pleural effusions meet at least one of the following criteria

  1. Pleural fluid protein >2.9 g/dL (29 g/L)
  2. Pleural fluid cholesterol >45 mg/dL (1.16 mmol/L)
  3. Pleural fluid LDH >60 percent of upper limit for serum

Previously criteria proposed by Light for an exudative effusion are met if at least one of the following exists (Light's criteria)

  1. The ratio of pleural fluid protein to serum protein is greater than 0.5
  2. The ratio of pleural fluid LDH and serum LDH is greater than 0.6
  3. Pleural fluid LDH is more than two-thirds normal upper limit for serum
exudate if one or more of the following criteria are
met:

The ratio of the pleural fluid to the serum
protein exceeds 0.50;
(2)
the ratio of the pleural fluid
lactic acid dehydrogenase (LDH) to the serum
LDH exceeds 0.6 or
(3)
the absolute value of the
pleural fluid exceeds two thirds the upper normal
limit for serum.

 

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