漏出液
WordNet
- a substance that transudes (同)transudation
- a substance that oozes out from plant pores (同)exudation
PrepTutorEJDIC
- 浸出液
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2017/10/31 21:43:01」(JST)
[Wiki en表示]
Transudate is extravascular fluid with low protein content and a low specific gravity (< 1.012). It has low nucleated cell counts (less than 500 to 1000 /microlit) and the primary cell types are mononuclear cells: macrophages, lymphocytes and mesothelial cells. For instance, an ultrafiltrate of blood plasma is transudate. It results from increased fluid pressures or diminished colloid oncotic forces in the plasma.
Contents
- 1 Transudate vs. exudate
- 2 Pathology
- 3 See also
- 4 References
Transudate vs. exudate
Transudate vs. exudate
|
|
Transudate |
Exudate |
Main causes |
↑ hydrostatic
pressure,
↓ colloid
osmotic pressure |
Inflammation-Increased vascular permeability |
Appearance |
Clear[1] |
Cloudy[1] |
Specific gravity |
< 1.012 |
> 1.020 |
Protein content |
< 2.5 g/dL |
> 2.9 g/dL[2] |
fluid protein/
serum protein |
< 0.5 |
> 0.5[3] |
SAAG = Serum [albumin] - Effusion [albumin] |
> 1.2 g/dL |
< 1.2 g/dL[4] |
fluid LDH
upper limit for serum |
< 0.6 or < 2⁄3 |
> 0.6[2] or > 2⁄3[3] |
Cholesterol content |
< 45 mg/dL |
> 45 mg/dL[2] |
See also: Light's criteria for pleural effusions
There is an important distinction between transudates and exudates. Transudates are caused by disturbances of hydrostatic or colloid osmotic pressure, not by inflammation. They have a low protein content in comparison to exudates and thus appear clearer.[5]
Levels of lactate dehydrogenase (LDH)[6] or a Rivalta test can be used to distinguish transudate from exudate.
Their main role in nature is to protect elements of the skin and other subcutaneous substances against the contact effects of external climate and the environment and other substances – it also plays a role in integumental hygiene.
Pathology
The most common causes of pathologic transudate include conditions that :
- Increase hydrostatic pressure in vessels : left ventricular heart failure,
- Decrease colloid oncotic pressure in blood vessels :
- Cirrhosis (Cirrhosis leads to hypoalbuminism and decreasing of colloid oncotic pressure in plasma that causes edema)
- Nephrotic syndrome (also due to hypoalbuminemia caused by proteinuria).
- Malnutrition (hypoalbuminism)
See also
Exudate – extravascular fluid due to vessel alteration during inflammation (increased permeability, vascular constriction then dilation). This results in an extracellular fluid of high protein content, with cell debris present and high specific gravity (>1.020).
This is in contrast to transudate where the extracellular fluid is an ultrafiltrate of blood plasma and thus larger molecules such as proteins and cell debris are absent.
References
- ^ a b The University of Utah • Spencer S. Eccles Health Sciences Library > WebPath images > "Inflammation".
- ^ a b c Heffner J, Brown L, Barbieri C (1997). "Diagnostic value of tests that discriminate between exudative and transudative pleural effusions. Primary Study Investigators". Chest. 111 (4): 970–80. PMID 9106577. doi:10.1378/chest.111.4.970.
- ^ a b Light R, Macgregor M, Luchsinger P, Ball W (1972). "Pleural effusions: the diagnostic separation of transudates and exudates". Ann Intern Med. 77 (4): 507–13. PMID 4642731. doi:10.7326/0003-4819-77-4-507.
- ^ Roth BJ, O'Meara TF, Gragun WH (1990). "The serum-effusion albumin gradient in the evaluation of pleural effusions". Chest. 98 (3): 546–9. PMID 2152757. doi:10.1378/chest.98.3.546.
- ^ The University of Utah • Spencer S. Eccles Health Sciences Library; WebPath images "Inflammation".
- ^ "IM Quiz: Pleural Adenocarcinoma".
Disorders of blood flow
|
Decreases |
Clots |
- Thrombus
- Thrombosis
- Renal vein thrombosis
|
Ischemia |
- Brain ischemia
- Ischaemic heart disease
- large intestine: Ischemic colitis
- small intestine: Mesenteric ischemia
|
Infarction |
|
|
Increases |
Hemorrhage |
- Bruise/Hematoma
- Petechia
- Purpura
- Ecchymosis
|
- head
- Epistaxis
- Hemoptysis
- Intracranial hemorrhage
- Hyphema
- Subconjunctival hemorrhage
- torso
- Hemothorax
- Hemopericardium
- Pulmonary hematoma
- abdomen
- Gastrointestinal bleeding
- Haemobilia
- Hemoperitoneum
- Hematocele
- Hematosalpinx
- joint
|
|
Edema |
- Anasarca
- Angioedema/Lymphedema
- Exudate/Transudate
|
- Cerebral edema
- Pulmonary edema
- Hydrothorax
- Ascites/hydroperitoneum
- Hydrosalpinx
|
|
Other |
|
|
UpToDate Contents
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English Journal
- Analysis of Canine Peritoneal Fluid Analysis.
- Bohn AA1.
- The Veterinary clinics of North America. Small animal practice.Vet Clin North Am Small Anim Pract.2017 Jan;47(1):123-133. doi: 10.1016/j.cvsm.2016.07.008. Epub 2016 Aug 13.
- Canine peritoneal fluid analysis results were retrospectively reviewed to assess the appropriateness of different classification schemes. Cutoffs of 3000 cells/μL and 2.5 g/dL protein are recommended. Analyzing the total nucleated cell count and total protein concentration is only the first step
- PMID 27531039
- Massive ascites caused by intra-pancreatic arterioportal fistula: a rare complication of chronic pancreatitis.
- Yamazaki T1,2, Ochi Y3, Tanaka N4, Watanabe T3, Iwaya Y3, Seki A3, Hara E3, Tanaka E5, Watanabe T6, Imai S6, Hasebe O3.
- Clinical journal of gastroenterology.Clin J Gastroenterol.2016 Dec 10. [Epub ahead of print]
- An 86-year-old man with a long-term habit of ethanol consumption was admitted due to massive transudate ascites and leg edema. Abdominal computed tomography revealed a dilated main pancreatic duct and atrophied pancreatic parenchyma, leading to the diagnosis of chronic pancreatitis. Moreover, the po
- PMID 27943060
- Concordant and Discordant Exudates and Their Effect on the Accuracy of Light's Criteria to Diagnose Exudative Pleural Effusions.
- Ferreiro L1, Sánchez-Sánchez R2, Valdés L1, Kummerfeldt CE3, Huggins JT4.
- The American journal of the medical sciences.Am J Med Sci.2016 Dec;352(6):549-556. doi: 10.1016/j.amjms.2016.08.016. Epub 2016 Sep 28.
- INTRODUCTION: To describe the incidence of discordant exudate (DE) effusions, their underlying etiologies and their effect on the accuracy of the Light's criteria to diagnose exudate effusions.METHODS: A retrospective review of pleural fluid analysis (PFA) from a cohort of patients with pleural effu
- PMID 27916209
Japanese Journal
- ナノ秒パルス高電界が農産物に与える効果 : 高電界印加後のブドウ表皮の細胞形態と漏出ポリフェノール総量
- 畑山 仁,小出 章二,高橋 克幸 [他],河村 幸男,高木 浩一
- 農業機械學會誌 73(2), 135-141, 2011-03-01
- NAID 10027914850
- 特発性細菌性胸膜炎(SBEM)を合併した難治性肝性胸水に経頸静脈性肝内門脈体循環短絡術(TIPS)が奏効したC型肝硬変症の1例
- 守護 晴彦,加賀谷 尚史,大石 尚毅 [他],荒井 邦明,北村 和哉,酒井 佳夫,山下 竜也,水腰 英四郎,酒井 明人,中本 安成,本多 政夫,金子 周一,松井 修
- 肝臓 = ACTA HEPATOLOGICA JAPONICA 48(9), 439-445, 2007-09-25
- 症例は69歳男性.C型肝硬変症で経過観察中であった.非代償期であり,腹水を認めていたが次第に利尿剤,アルブミン製剤投与にも抵抗性となった.発熱,呼吸困難を認め,入院となった.入院時,大量の右側胸水と大量の腹水貯留を認めた.胸水穿刺にて,右側胸水は褐色調で混濁を示す滲出性胸水であったが,腹水は淡黄色で清明な漏出性腹水であった.非代償性肝硬変による肝性胸水に細菌感染が合併した特発性細菌性胸膜炎と診断し …
- NAID 10019941606
- 稲瀬 直彦,富永 慎一郎,安井 牧人 [他],塚田 義一,大河内 稔,三浦 溥太郎
- 結核 80(12), 731-734, 2005-12-15
- … With regard to pleural effusion, 18 cases were transudate and 82 cases (9 tuberculous pleuritis, 27 lung cancer, 8 mesothelioma, 5 malignant diseases except lung cancer and mesothelioma, 5 benign asbestos pleurisy, 10 empyema, 10 parapneumonic effusion, one SLE, one parasitic infection, and 6 undetermined etiology) were exudates. …
- NAID 10016904095
Related Links
- + Add to Word List Create new word list More... Word List Title: 3 to 50 characters max. Word List Description: 3 to 250 characters max. Shared Private Definitions transudate [tran′so o dāt′, -syo o -] noun something transuded Origin ...
- tran·su·date (trăn-so o ′dāt′, -syo o ′-, trăn′so o-dāt′, -syo o-) also tran·su·da·tion (trăn′so o-dā′shən, -syo o-) n. 1. A product of the process of transuding. 2. A substance that transudes. transudate (ˈtrænsʊˌdeɪt) n 1. (Physiology) physiol ...
Related Pictures
★リンクテーブル★
[★]
- 英
- transudate, diapedesis, diapiresis, emigration, extravasation, transmigration
- 同
- 血管外遊出
- 血管内皮を通って、静水圧と膠質浸透圧の差の圧力に従って血漿が組織に移行すること
[★]
- 英
- transudate
- 関
- 滲出液 exudate
- 静水圧と膠質浸透圧の差の圧力で組織に移動した液
- タンパク質が乏しい->イオンがほとんど
- 比重は1.012以下
[★]
- 関
- decoction、effusion、leachate、transudate、transudation
[★]
- 英
- exudate
- 同
- 滲出物
- 関
- 漏出液 transudate
[★]
- 英
- transudate
- 関
- 滲出液