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结核性胸膜炎发生胸膜肥厚因素的探讨

Influencing factors on pleuralthickening in patients with tuberculous pleuritis

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【作者】 张凤英王庆枫胡范彬

【Author】 Zhang Fengying , Wang Qingfeng , Hu Fanbin . Beijing Tuberculosis and Thoracic Tu mour Institute , Beijing 101149

【机构】 北京市结核病胸部肿瘤研究所!101149北京市结核病胸部肿瘤研究所!101149

【摘要】 目的 探讨结核性胸膜炎发生胸膜肥厚的因素。方法 对1993 年至1995 年收治的113 例结核性胸膜炎发生胸膜肥厚的原因进行分析。结果 胸膜肥厚的发生与就诊时间、胸水细胞数与蛋白含量及胸穿抽液是否及时有关, 与胸水量无关。结论 降低结核性胸膜炎发生胸膜肥厚的重要措施: 1 . 积极抗结核治疗及积极胸穿抽液, 2 . 归口管理。

【Abstract】 Objective To investigate the influencing factors on pleuralthickening in patients with tuberculouspleuritis . Method To analyse the clinical materials of 113 hospitalized patients with tuberculous pleuritis retro spectively . Results Factors of patient’s delay (duration from onset to consultation) , total nu m ber of the cells ,white blood cell, the content of protein in pleural effusion and aspiration of effusion were associated with the fre quency of pleural thickening . Conclusion 1 . Rational chem otherapy and active aspiration for pleural effusionwere m ostim portant m easuresin the treatment of tuberculous pleuritis . 2 . Patients with tuberculous pleuritis haveto be transfered to the dispensary or hospital specialized to tuberculosis for further treatment.

【关键词】 结核,胸膜胸膜增厚
【Key words】 Tuberculosispleural Pleuralthickening
  • 【文献出处】 中国防痨杂志 ,BUCCETIN OF CHINESE ANTITUBERCULOSIS ASSOCLATION , 编辑部邮箱 ,1999年03期
  • 【分类号】R521.7
  • 【被引频次】148
  • 【下载频次】168
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