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목차
ABDOMINAL SWELLING AND ASCITES
* ABDOMINAL SWELLING
* Clinical history
* Physical examination
* ASCITES
* REFERENCES
* ABDOMINAL SWELLING
* Clinical history
* Physical examination
* ASCITES
* REFERENCES
본문내용
nsecutive patients with all forms of ascites.
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: The utility of the serum-ascites albumin gradient and the old exudate-transudate concept (as defined by ascitic fluid total protein concentration (AFTP)) were compared for their ability in discriminating the cause for ascites formation.
RESULTS: The albumin gradient correctly differentiated causes of ascites due to portal hypertension from those that were not due to portal hypertension 96.7% of the time. The AFTP, when used as defined in the old exudate-transudate concept, classified the causes of ascites correctly only 55.6% of the time. This resulted in part because the AFTP of most spontaneously infected samples (traditionally expected to be exudates) was low, and the AFTP of most cardiac ascites samples (traditionally expected to be transudates) was high.
CONCLUSIONS: The exudate-transudate concept should be discarded in the classification of ascites. The serum-ascites albumin gradient is far more useful than the AFTP as a marker for portal hypertension, but the latter remains a useful adjunct in the differential diagnosis of ascites.
Address: University of Iowa, Iowa City.
UI: 92312944
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: The utility of the serum-ascites albumin gradient and the old exudate-transudate concept (as defined by ascitic fluid total protein concentration (AFTP)) were compared for their ability in discriminating the cause for ascites formation.
RESULTS: The albumin gradient correctly differentiated causes of ascites due to portal hypertension from those that were not due to portal hypertension 96.7% of the time. The AFTP, when used as defined in the old exudate-transudate concept, classified the causes of ascites correctly only 55.6% of the time. This resulted in part because the AFTP of most spontaneously infected samples (traditionally expected to be exudates) was low, and the AFTP of most cardiac ascites samples (traditionally expected to be transudates) was high.
CONCLUSIONS: The exudate-transudate concept should be discarded in the classification of ascites. The serum-ascites albumin gradient is far more useful than the AFTP as a marker for portal hypertension, but the latter remains a useful adjunct in the differential diagnosis of ascites.
Address: University of Iowa, Iowa City.
UI: 92312944
추천자료
- 가격1,300원
- 페이지수6페이지
- 등록일2003.01.24
- 저작시기2003.01
- 파일형식한글(hwp)
- 자료번호#220561
본 자료는 최근 2주간 다운받은 회원이 없습니다.
