Hepatic Hydrothorax and SBPL Diagnosis
| Hepatic hydrothorax | SBPL |
|---|---|
| 1. Exclusion diagnosis | 1. Diagnostic thoracentesis |
| 2. Based on clinical manifestations, radiologic features, and thoracocentesis | 2. PMN cells are >250/μL + a positive pathogen detection or |
| 3. PMN cells <250 cells/mm3 | 3. PMN cells are > 500/μL + a negative pathogen detection |
| 4. Total protein <2.5 g/dL | |
| 5. gradient of serum albumin to pleural fluid >1.1 | |
| 6. Pleural fluid/serum total protein ratio <0.5 | |
| 7. Pleural fluid/serum LDH ratio <0.6 |
SBPL, spontaneous bacterial pleurisy; PMN, polymorphonuclear; LDH, lactate dehydrogenase.