3 years ago

Identificación de líquidos biológicos de origen desconocido

Gracia Valcárcel Piedra, Eva Guillén Campuzano, Laura Altimira Queral, Amparo Galán Ortega, Ana Hernando Holgado, Xavier Navarro Segarra, Paloma Oliver Sáez, Olaia Rodríguez Fraga, Alicia Ruiz Ripa, Laura Sahuquillo Frías, Luis García De Guadiana Romualdo

Publication date: October–December 2018

Source: Revista del Laboratorio Clínico, Volume 11, Issue 4

Author(s): Gracia Valcárcel Piedra, Eva Guillén Campuzano, Laura Altimira Queral, Amparo Galán Ortega, Ana Hernando Holgado, Xavier Navarro Segarra, Paloma Oliver Sáez, Olaia Rodríguez Fraga, Alicia Ruiz Ripa, Laura Sahuquillo Frías, Luis García de Guadiana Romualdo

Resumen

Los laboratorios clínicos son frecuentemente requeridos para la identificación de líquidos corporales de los que se desconoce su origen. La información bibliográfica con respecto a la identificación de líquidos biológicos de procedencia incierta es escasa. El objetivo de este documento es actualizar los conocimientos sobre aquellos constituyentes útiles como marcadores para la identificación y diferenciación de estos líquidos. Se abordan aspectos como la identificación de una punción lumbar traumática o de líquido cefalorraquídeo en fístulas, la identificación de un derrame quiloso o pseudoquiloso, de secreción biliar, pancreática, gastroesofágica o de orina en las cavidades serosas así como del líquido amniótico.

Abstract

Clinical laboratories are regularly requested to analyze unusual body fluids of unknown origin. There is little in the literature about the identification of body fluids of uncertain origin. The purpose of this document is to perform an updated review on those constituents that may be useful as markers for identifying and diferentiating these unusual fluids. A review is presented on aspects such as the identification of a traumatic lumbar puncture or a cerebrospinal fluid leakage, the identification of a chylous or pseudochylous effusion, leakage of bile, pancreatic fluid, gastroesophageal fluid, or urine, in the serous cavities, as well as the amniotic fluid.

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