- 作者: Ugur Gonlugur; Tanseli Efeoglu Gonlugur
- 作者服務機構: 1 Department of Chest Diseases, Cumhuriyet University Medical School, 58140, Sivas, Turkey; ; 2 Department of Chest Diseases, Sivas State Hospital, Sivas, Turkey
- 中文摘要: --
- 英文摘要: The first step in the diagnosis of pleural effusions is the distinction between exudates and transudates. The aim of this study was to evaluate the usefulness of various parameters for the differentiation of pleural exudates and transudates. We recorded clinical characteristics, final diagnoses, and measured pleural fluid and serum levels of albumin, protein, LDH, cholesterol, and bilirubin of 381 consecutive patients with pleural effusion. Seventy-one (23%) pleural effusions were transudates and 236 were exudates. As a single criterion, the pleural fluid to serum albumin ratio > 0.5 was the most accurate parameter (88.4%). An albumin gradient of 12 g/l had an accuracy of 75% in the whole population but it detected 96% of transudative effusions in patients treated with diuretics. Light's criteria and abbreviated Light's criteria had similar accuracies, 87.8% vs. 88.2%, respectively. In conclusions, different alternatives can be used instead of Light's criteria.
- 中文關鍵字: --
- 英文關鍵字: pleural effusions, biochemical criteria, exudates, transudates, thoracentesis