【作者】 陈学文； 赵善良； 沙作和；

【Author】 Chen Wuewen, Zhao Shanliang, Sha Zuohe Linyi Thoracic Hospital, Shandong, 270034

【机构】 山东临沂市胸科医院；

【摘要】 目的:探讨胸腔积液的病因、诊断、鉴别诊断及治疗特点。方法:对1995年1月-2002年12月期间我们收治的资料完整的356例胸腔积液患者的临床资料进行回顾性分析。结果:356例患者中良性胸腔积液共238 例;其中结核性胸腔积液207例(87%);心功能衰竭引起的胸腔积液11例(4.6%);肝硬化引起的胸腔积液8 例(3.4%);其它原因引起的胸腔积液12例。恶性胸腔积液115例。其中原发病为肺癌79例(68.7%);乳腺癌11例(9.6%);其它肿瘤18例;原发肿瘤不详的7例。结论:结核与肿瘤是胸腔积液的主要病因。临床工作中应及时明确胸腔积液的病因并进行针对性的治疗。更多还原

【Abstract】 Objective: To analyses the pathogeny, diagnosis, distinct diagnosis and treatment characteristics of pleural effusion. Methods: Data of 356 cases with pleural effusion that were under treatment in our hospital between January 1995 and December 2002 were retrospectively analyzed. Results: Clinical type: 238 cases were diagnosed as positive pleural effusion. Among them, 207 cases (87%) were tuberculosis, 11 cases (4.6%) were cardiac insufficiency, 8 cases (3. 4%) were cirrhosis, 12 cases were other diseases. 115 cases were diagnosed as malignant pleural effusion. Among them, 79 cases (68.7%) were primary bronchogenic carcinoma, 1 leases (9.6%) were breast cancer, 18 cases were other diseases, 7 cases’ pathogeny were unknown. Conclusion: Tuberculosis and tumor are the essential cause lead to pleural effusion. Clinician should define the pathogeny of pleural effusion and treat it as soon as possible.更多还原