【摘要】 本文对147例胸腔积液的资料进行了分析,并对诊断与治疗进行了讨论.在病因诊断中,一般胸水化验,不少病例可明确诊断.对边缘性胸水应作细胞学、组织学检查对一些原因不明病例,根据临床分析及进一步检查如胸水的病原学,细胞学及组织学大多可确立诊断.在治疗中,结核性胸水用抗结核药物加肾上皮质激素治疗及胸穿抽液,可提高疗效,缩短病程,促进胸水消退.化脓性,在抗菌药物应用下加闭锁引流,疗效较好.但在本组中,可能因例数较少,这些差异经统计学处理,均无显著性.更多还原

【Abstract】 Pleural effusion is not uncommon. It seems to be the prominent feature among various kinds of diseases. 147 cases of various pleural effusions have been analyzed and their diagnosis and treatment are discussed. In most cases, etiologic diagnosis could be established by routine examination of the effusion, but in some marginal or perplexing cases, most diagnosis could be made by careful analysis of clinical features and by further examination of effusions in bacteriology and cytology. Generally, corticosteroids may strengthen the effect of the antituberculous therapy, shorten the course of disease, and promote the absorption of effusion. If the effusion disappears in less than 3 thoracocentcses, the prognosis is good. In suppurative cases,antibactcrials together with closed drainage may produce a better result. But in our series, the number of cases was too small to evaluate a statistically significant difference.更多还原