Læknaneminn - 01.10.2002, Blaðsíða 19

að gera frekari rannsóknir þar sem mismunagreining-
ar eru fáar og frekari rannsóknir á vökvanum bæta
litlu við. Ef vökvinn er vilsa og greining hefur ekki
fengist ætti að gera lokaða fleiðrusýnatöku eða
fleiðruspeglun (mynd 7). Fleiðruspeglun lungnalækna
er ekki almenn hér á landi en ef svo verður má vel
liugsa sér að hún muni að hluta koma í stað lokaðrar
fleiðrusýnatöku.
Lokaorð
Vökvasöfnun í fleiðruhol er algengt klínískt vandamál
sem tengist mörgum sérgreinum læknisfræðinnar og
því nauðsynlegt fyrir alla lækna að þekkja nokkuð urn
fleiðruna, vökvasöfnun í fleiðruhol og greiningarað-
ferðir.
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