英: examination of puncture fluid

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1. 診断および治療を目的とした腹腔穿刺diagnostic and therapeutic abdominal paracentesis [show details]
… better for therapeutic paracentesis. Paracentesis is carried out to obtain ascitic fluid for analysis and to remove large amounts of fluid in patients with tense ascites.… When fluid is clearly present by examination and imaging, sampling the fluid should be possible,…
2. 成人における腹水の診断および評価evaluation of adults with ascites [show details]
… performed on ascitic fluid to evaluate for infection and should be ordered on every specimen, including therapeutic paracentesis specimens (ie, a paracentesis being performed as part… physical examination and abdominal imaging (usually ultrasonography). Once the diagnosis of ascites is made, the next step is to look for the cause. This typically includes a paracentesis to evaluate…
3. 成人における重症循環血液量減少または循環血液量減少性ショックの治療treatment of severe hypovolemia or hypovolemic shock in adults [show details]
… of the need for more fluid or more salt. In most patients, an immediate clinical response to fluid administration is appreciated by clinical examination and laboratory findings.… diuresis and paracentesis. The intermittent administration of hyperoncotic (20 to 25 percent) albumin as a resuscitative fluid is poorly studied but used by experts to limit fluid retention…
4. 肝硬変患者における腹水の治療：初期治療ascites in adults with cirrhosis initial therapy [show details]
…regarding the cause of ascites formation . A careful history, physical examination, and abdominal paracentesis with appropriate ascitic fluid analysis can usually determine the cause of ascites formation . Patients …
5. 成人における特発性細菌性腹膜炎：診断spontaneous bacterial peritonitis in adults diagnosis [show details]
…hemorrhage into the ascitic fluid, as in a traumatic paracentesis, leads to red cell and white cell entry into the fluid. A corrected PMN count should be calculated if there is bloody fluid: One PMN is subtracted …

Japanese Journal

穿刺液検体の検査法―細胞数と細胞分類を中心に―～胸水，腹水，心嚢水，関節液，CAPD排液～

保科ひづる,羽原利幸,小関紀之,内田一豊,岡田茂治,小澤優
医学検査 69(4), 701-710, 2020
… <p>日本臨床衛生検査技師会穿刺液検査標準化ワーキンググループは，穿刺液（体腔液）検査の臨床的意義と施設間差の是正を目指し，細胞数算定法，細胞分類法，報告法についてまとめ日常検査法として推奨する。 …
NAID 130007931260

穿刺液検査にて肺扁平上皮癌の膝蓋骨転移を指摘できた1例

溝口義浩,田渕佐和子,佐谷純一,下門春菜,平山賢司,宇野大輔,緒方昌倫,伏見文良
医学検査 68(2), 383-387, 2019
<p>肺癌の骨転移は比較的認められる所見であるが，膝蓋骨への転移は非常に稀である。今回，我々は肺扁平上皮癌を左膝蓋骨滑膜嚢胞液中に認めた症例を経験したので報告する。患者は79歳男性で，肺癌と診断されている。膝に痛みがあることから，感染性関節炎を疑われ，様々な検査が施行された。迅速ギムザ染色（ヘマカラー染色；Hemacolor：H染色）を施行し，扁平上皮癌を検出した。その後，画像診断によ …
NAID 130007637232