Nebulized Ipratropium in the Treatment of Acute Asthma
نویسنده
چکیده
from nontuberculous effusions by measuring pleural adenosine deaminase (ADA),4’ lysozyme (LZ),6 and interferon-gamma (IFG)7; these biochemical compounds are elevated in tuberculous effusions depending on the size of the effusion, although there is an overlap in the pleural concentrations of ADA and LZ.3 We reasoned that the pleural alkaline phosphatase concentration would be a useful means of differentiating exudative from transudative effusions. We evaluated the specific gravity (SG) and protein, cholesterol, LDH, and alkaline phosphatase concentrations in pleural fluid in 55 patients with histologically proved tuberculous pleurisy, and in ten with effusions from CHF (Table 1). In addition to having higher pleural protein, cholesterol, and LDH levels, tuberculous exudative effusions also) have a high alkaline phosphatase content (approximately 75 IU). Pleural LDH levels in tuberculosis effusions do vary a great deal, and estimations of pleural fluid protein, cholesterol, and alkaline phosphatase levels may be the most useful means of differentiating tuberculous effusioins from transudative effusions. There is greater variatioin in pleural concentrations of protein, cholesterol, LDH, and alkaline phosphatase in CHF; this is due to differences in the degree of decompensation of CHF due to treatment with diuretics. The value of estimating the pleural alkaline phosphatase concentratioin to differentiate tuberculous effusions from nontuberculous exudative effimsions needs ftmrther investigation.
منابع مشابه
Addition of ipratropium to nebulized albuterol in children with acute asthma presenting to a pediatric office.
A prospective, randomized, double-blind study was conducted to determine whether there was any benefit to the addition of ipratropium to a single nebulized albuterol treatment in infants and children with mild to moderate acute asthma presenting to a pediatric office. There were no significant differences between the albuterol group and the combined albuterol-ipratropium group in the relief of ...
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