体液检查

Modern veterinary practice Pub Date : 1984-04-01
B F Feldman, W W Ruehl
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引用次数: 0

摘要

狗的心包囊约0.3 ml,胸膜和腹膜腔0-15 ml为透明的草黄色液体,pH 7.4,比重1.016,蛋白质含量小于3.0 g/dl,细胞数小于3000/微升。氢氧化钠和乙醚可以清除乳糜液中的脂肪。细胞计数大于3000/微升表明有炎症。坏死性胰腺炎腹膜液淀粉酶水平升高。在细菌性炎症中,多形核白细胞的比例超过50%。正常关节含有少于1ml的高粘性、透明或稻草色滑液,每微升含有少于1000个有核细胞。在脓毒性关节炎和偶尔的免疫介导性关节炎中,滑膜液变得絮状,粘度降低,通常细胞计数大于75000 /微升,75-90%的WBC为多形核。脑脊液通常为无细胞、透明、无色,但也可能呈红色、黄色或棕色,伴有颅内血肿。病毒性或无菌性脑膜炎的特点是单个核细胞计数低于500/微升。在急性细菌性脑膜炎中,有核细胞计数大于1000/微升,多数为多形核白细胞。脑脊液革兰氏染色无效。
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Examination of body fluids.

In dogs, the pericardial sac contains about 0.3 ml, and the pleural and peritoneal cavities 0-15 ml of clear, straw-colored fluid of pH 7.4, specific gravity 1.016, protein content less than 3.0 g/dl and cell count less than 3000/microliter. Fat can be cleared from chylous fluid with NaOH and ether. Inflammation is indicated by a cell count greater than 3000/microliter. Amylase levels in peritoneal fluid are elevated in necrotizing pancreatitis. The percentage of polymorphonuclear WBC exceeds 50% in bacterial inflammations. Normal joints contain less than 1 ml highly viscid, clear or straw-colored synovial fluid with less than 1000 nucleated cells/microliter. Synovial fluid becomes flocculent and less viscid in septic and occasionally in immune-mediated arthritis, often with cell counts greater than 75,000/microliter, with 75-90% polymorphonuclear WBC. Cerebrospinal fluid is normally acellular, clear and colorless but may be red, yellow or brown with intracranial hematomas. Viral or aseptic meningitis is characterized by mononuclear cell counts of less than 500/microliter. In acute bacterial meningitis, nucleated cell counts are greater than 1000/microliter, with most being polymorphonuclear WBC. Gram staining of cerebrospinal fluid is not useful.

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