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胸腔穿刺术 腹腔穿刺术 骨髓穿刺术 腰椎穿刺术 南方医科大学 第二临床医学院 内科学教研室 李晓丹 内科四大穿刺 第 一 部 分 人体的胸膜腔、腹膜腔、心包腔统称为浆膜腔浆膜腔,分别由壁层胸膜、腹膜、心 包膜和脏层胸膜、腹膜、心包膜之间的潜在腔隙构成。 在生理状态下,腔内有少量液体,液体来自壁浆膜毛细血管内的血浆滤出, 并通过脏浆膜的淋巴管和小静脉回吸收。正常成人胸 腔液 1.018 凝固 不自凝 能自凝 粘蛋白定性 阴性 阳性 蛋白定量 30g/L 葡萄糖定量 与血糖相近 常低于血糖水平 细胞计数 常500106/L 细胞分类 淋巴、间皮细胞为主 中性粒或淋巴细胞为主 细菌学检查 阴性 可找到病原菌 积液/血清总蛋白 0.5 积液/血清LDH比值 0.6 LDH 200IU 漏出液和渗出液的鉴别 第 一 部 分第 一 部 分谢 谢 第 一 部 分 &s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A- 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