【摘要】 目的:探讨多浆膜腔积液的临床特点及其与常见病因之间的关系。方法:回顾性分析63例多浆膜腔积液患者的临床资料。结果:多浆膜腔积液常见病因为恶性肿瘤(30.2%)和结核(30.2%),其次为肝硬化、心功能不全等;多浆膜腔积液的病因与积液部位、积液性质、性状有一定关系;结核性多浆膜腔积液组中ADA含量明显升高,较恶性和非结核良性多浆膜腔积液组差异显著(P<0.01)。23例(恶性积液18例、结核5例)患者通过病理细胞学确诊。结论:恶性肿瘤和结核是多浆膜腔积液常见病因。更多还原

【Abstract】 Objective To study the clinical manifestations of the polyserositis and relationship with the common causes.Methods The clinical manifestations of 63 patients diagnosed of polyserositis in our hospital were summarized and analyzed retrospectively.Results The common causes of polyserositis were malignant tumor(30.2%),tuberculosis(30.2%),cirrhosis,congestive heart failure,etc.The etiology factors were related to the sites and characteristics of effusion.The level of adenosine deaminase in tubercular effusion was much higher than in malignant or non-tubercular benign effusion(P<0.01).Twenty-three cases,compared with 18 cases of malignant tumor and 5 cases of tuberculosis,were diagnosed by the means of pathology.Conclusion The main causes of polyserositis are malignant tumor and tuberculosis.更多还原