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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1993-2-17
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pubmed:abstractText |
In order to establish whether an ascitic polymorphonuclear count greater than 250/mm3 remains a diagnostic criterion for postoperative bacterial peritonitis, a prospective study of 16 patients with cirrhosis and ascites undergoing hepatectomy (n = 4), portocaval shunt (n = 5) and biliary and digestive surgery (n = 7) was carried out. Sixty-four consecutive specimens of ascitic fluid were obtained through abdominal one-way suction tubes left in situ. In 17 (26%) specimens, ascitic fluid was blood stained and the polymorphonuclear count was unreliable; none of these specimens demonstrated positive ascitic fluid culture. In the remaining 47 specimens the polymorphonuclear count ranged from 5 to 5,920/mm3. Positive ascitic fluid culture was significantly higher in polymorphonuclear > or = 250/mm3 group (5/13: 38%) than in polymorphonuclear < 250/mm3 group (2/34: 6%) (p < 0.02). These results suggest that, as in non-operated cirrhotic patients: (a) polymorphonuclear count should be taken in account in the diagnosis of postoperative bacterial peritonitis; (b) polymorphonuclear count greater than 250/mm3 is a good criterion for the diagnosis of bacterial postoperative peritonitis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0172-6390
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
584-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1483674-Ascitic Fluid,
pubmed-meshheading:1483674-Hepatectomy,
pubmed-meshheading:1483674-Humans,
pubmed-meshheading:1483674-Leukocyte Count,
pubmed-meshheading:1483674-Liver Cirrhosis,
pubmed-meshheading:1483674-Neutrophils,
pubmed-meshheading:1483674-Peritonitis,
pubmed-meshheading:1483674-Portasystemic Shunt, Surgical,
pubmed-meshheading:1483674-Postoperative Complications,
pubmed-meshheading:1483674-Prospective Studies
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pubmed:year |
1992
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pubmed:articleTitle |
Polymorphonuclear count in ascitic fluid after laparotomy in cirrhotic patients.
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pubmed:affiliation |
Service de Chirurgie, Hôpital Beaujon, Clichy, France.
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pubmed:publicationType |
Journal Article
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