A Reassessment of the Peritoneal Lavage Leukocyte Count in Blunt Abdominal Trauma
Nine hundred and three patients undergoing diagnostic peritoneal lavage (DPL) over a 6-year period were retrospectively reviewed to evaluate the utility of the white blood cell (WBC) count in the lavage fluid. Eleven patients (1.2) had dialysate WBC counts > 500/mm, with erythrocyte counts < 1...
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| Veröffentlicht in: | The journal of trauma 1990-10, Vol.30 (10), p.1291-1293 |
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| container_title | The journal of trauma |
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| creator | DʼAMELIO, LOUIS F. RHODES, MICHAEL |
| description | Nine hundred and three patients undergoing diagnostic peritoneal lavage (DPL) over a 6-year period were retrospectively reviewed to evaluate the utility of the white blood cell (WBC) count in the lavage fluid. Eleven patients (1.2) had dialysate WBC counts > 500/mm, with erythrocyte counts < 10/ mm. Nine of these patients who were lavaged within 4 hours of injury had no intra-abdominal pathology. Two patients, lavaged after 4 hours, demonstrated intra-abdominal injury. Two hundred twenty-three patients (24.7) had grossly clear dialysate which was not sent for laboratory analysis. None of these patients required laparotomy. We conclude that the WBC count in DPL fluid is of no diagnostic value in victims of blunt abdominal trauma who are lavaged within 4 hours of injury. In addition, laboratory analysis of clear dialysate is not required in these patients. |
| doi_str_mv | 10.1097/00005373-199010000-00016 |
| format | Article |
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Eleven patients (1.2) had dialysate WBC counts > 500/mm, with erythrocyte counts < 10/ mm. Nine of these patients who were lavaged within 4 hours of injury had no intra-abdominal pathology. Two patients, lavaged after 4 hours, demonstrated intra-abdominal injury. Two hundred twenty-three patients (24.7) had grossly clear dialysate which was not sent for laboratory analysis. None of these patients required laparotomy. We conclude that the WBC count in DPL fluid is of no diagnostic value in victims of blunt abdominal trauma who are lavaged within 4 hours of injury. In addition, laboratory analysis of clear dialysate is not required in these patients.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199010000-00016</identifier><identifier>PMID: 2213937</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Abdominal Injuries - blood ; Abdominal Injuries - diagnosis ; Biological and medical sciences ; Burns ; Female ; Humans ; Leukocyte Count ; Male ; Medical sciences ; Peritoneal Lavage ; Predictive Value of Tests ; Traumas. Diseases due to physical agents ; Wounds, Nonpenetrating - blood ; Wounds, Nonpenetrating - diagnosis</subject><ispartof>The journal of trauma, 1990-10, Vol.30 (10), p.1291-1293</ispartof><rights>Williams & Wilkins 1990. 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Eleven patients (1.2) had dialysate WBC counts > 500/mm, with erythrocyte counts < 10/ mm. Nine of these patients who were lavaged within 4 hours of injury had no intra-abdominal pathology. Two patients, lavaged after 4 hours, demonstrated intra-abdominal injury. Two hundred twenty-three patients (24.7) had grossly clear dialysate which was not sent for laboratory analysis. None of these patients required laparotomy. We conclude that the WBC count in DPL fluid is of no diagnostic value in victims of blunt abdominal trauma who are lavaged within 4 hours of injury. In addition, laboratory analysis of clear dialysate is not required in these patients.</description><subject>Abdominal Injuries - blood</subject><subject>Abdominal Injuries - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Burns</subject><subject>Female</subject><subject>Humans</subject><subject>Leukocyte Count</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Peritoneal Lavage</subject><subject>Predictive Value of Tests</subject><subject>Traumas. 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Eleven patients (1.2) had dialysate WBC counts > 500/mm, with erythrocyte counts < 10/ mm. Nine of these patients who were lavaged within 4 hours of injury had no intra-abdominal pathology. Two patients, lavaged after 4 hours, demonstrated intra-abdominal injury. Two hundred twenty-three patients (24.7) had grossly clear dialysate which was not sent for laboratory analysis. None of these patients required laparotomy. We conclude that the WBC count in DPL fluid is of no diagnostic value in victims of blunt abdominal trauma who are lavaged within 4 hours of injury. In addition, laboratory analysis of clear dialysate is not required in these patients.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>2213937</pmid><doi>10.1097/00005373-199010000-00016</doi><tpages>3</tpages></addata></record> |
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| ispartof | The journal of trauma, 1990-10, Vol.30 (10), p.1291-1293 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Abdominal Injuries - blood Abdominal Injuries - diagnosis Biological and medical sciences Burns Female Humans Leukocyte Count Male Medical sciences Peritoneal Lavage Predictive Value of Tests Traumas. Diseases due to physical agents Wounds, Nonpenetrating - blood Wounds, Nonpenetrating - diagnosis |
| title | A Reassessment of the Peritoneal Lavage Leukocyte Count in Blunt Abdominal Trauma |
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