증례 challenge · 호흡·응급 · teaching

(Light )경로 · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Light 1972

Case #1호흡·응급

📋 Case data

Light모두 충족하지 않음(여출액)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Light

천자 후 Light 기준 — 삼출액입니까, 여출액입니까?

💡 진단적 흉막천자를 시행해 흉수와 혈청의 단백과 LDH(및 세포 수·감별, 포도당, pH, 배양, 세포검사, 결핵 ADA, 필요시 중성지방)를 보낸다. Light 기준(하나라도 충족하면 삼출액): ① 흉수 단백/혈청 단백 >0.5 ② 흉수 LDH/혈청 LDH >0.6 ③ 흉수 LDH >혈청 LDH 정상 상한의 2/3. 혈흉·농흉이 의심되면 분류보다 먼저 응급 흉관 배액을 시행한다.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.