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APUNTE RESUMEN LIQUIDOS DE PUNCION
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Resumen de estudiante sobre líquidos corporales (sinovial, pleural, ascítico, LCR) y su análisis bioquímico para diagnostico de diferentes patologias asociadas.
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LIQUIDOS CORPORALES Iultrafiltrado plasmatico procedente de hojas pleurales.
LIQUIDO PLEURAL
se reabsorbe por via linfatica
CAPAS PLEURALES
mayor parte de la absorción
linfatica.
membranas semipermebales.
Permiten el paso de moleculas
pequeñas como la glucosa, e
impiden el paso de
macromoleculas como albumina.
acumulo o incremento del LP
se obtiene para su estudio por TORACOCENTESIS con aspiracion con jeringa
DERRAME PLEURAL
heparinizada.
recuento celular, estudio bioq., microbiologico y anatomopatologico
MECANISMOS
aumento de la presion hidrostatica IC trasudado
descenso de la presion oncotica SNEF trasudado
aumento de la permieabilidad en la microcirculacion
exudado
pleural INFLAMAC.
alteracion del drenaje linfatico TUMOR, TRAUMA rotura o bloqueo
movimiento de fluido desde el peritoneo LINF. DIAFRAGMATICOS O DEFECTO DIAFRAGMATICO DE PEQUEÑO
TAMAÑO
, LIQUIDOS CORPORALES I
TRASUDADO EXUDADO
aumento de la presion microvascular y/o de la disminucion de la aumento de la permeabilidad de la superficie pleural con traspaso
presion oncotica. de proteinas sanguineas hacia el liquido pleural.
proteinas <3g/dl infeccion, tumores, enfermedades sistemicas u digestivas.
glucosa no disminuida proteinas >3g/dl
LDH no aumentada
leucocitos <1000/mm3
colesterol disminuido a la cuarta parte
, LIQUIDOS CORPORALES I
a veces
INVESTIGAR ETIOLOGIA
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