問題詳情

15. 病人經胸腔超音波檢查發現左側肋膜腔積水,胸水抽吸(thoracocentasis)抽出20c.c.暗紅色液體,肋膜積液分析數據:WBC:5230/µL、neutrophil/lymphocyte:18%/77%、Hct:12%、total protein:3.5 g/dL、LDH:200 U/L、glucose:73mg/dL、pH:7.pleural effusioncytology : negative for malignant cells 。另抽血檢查數據 : WBC : 8100/µL ,neutrophil/lymphocyte:70%/20%、Hgb:10.6 g/dL,Hct:36%、total protein:6.4 g/dL、LDH:400 U/L,glucose:85 mg/dL。請問最有可能的診斷為何?
(A) 肺癌合併惡性肋膜積水(lung cancer with malignant pleural effusion)
(B) 左側血胸(right side hemothorax)
(C) 左側膿胸(right side empyema)
(D) 肝硬化合併肋膜積水(liver cirrhosis with hepatic hydrothorax)

參考答案

答案:A
難度:適中0.429
書單:沒有書單,新增

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