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目的胸腔积液是临床较常见的体征,其病因较复杂,良性及恶性胸腔积液的鉴别在临床上及预后评价具有重大意义。探讨鄂托克旗第二人民医院收治胸腔积液患者的病因组成。方法回顾性分析120例胸腔积液住院患者的临床资料,并分析其病因组成。结果根据临床表现、影像学检查、胸水性质或经治疗后明显好转以确诊。良性胸腔积液50例(42%),其中结核37例(74%),心功能不全3例(6%),肺炎或脓胸9例(18%),肾病综合症1例(2%);根据临床表现、痰或胸腔积液脱落细胞学、纤维支气管镜活检取材、胸膜活检或胸腔镜检,符合肿瘤的诊断。确诊恶性胸腔积液51例(43%),未明确诊断19例(15%)。结论目前临床上结核和肿瘤是引起胸腔积液的最主要的病因。
The purpose of pleural effusion is a more common clinical signs, the etiology is more complex, differential diagnosis of benign and malignant pleural effusion in clinical and prognostic evaluation of great significance. To investigate the causes of pleural effusion in the Second People’s Hospital of Etuokeqi. Methods The clinical data of 120 cases of pleural effusion inpatients were analyzed retrospectively, and the etiological factors were analyzed. Results According to clinical manifestations, imaging examination, pleural effusion or marked improvement after treatment to confirm. Forty tuberculosis cases (74%), 3 cases (6%) of heart failure, 9 cases (18%) of pneumonia or empyema, 1 case of nephrotic syndrome (2%), ; According to clinical manifestations, sputum or pleural effusion cytology, fibrobronchial biopsy, pleural biopsy or thoracoscopy, in line with the diagnosis of the tumor. 51 cases (43%) were diagnosed as malignant pleural effusion, and 19 cases (15%) were not diagnosed. Conclusion At present, tuberculosis and tumor are the most important causes of pleural effusion.