误诊为结核性胸腔积液的淋巴瘤2例分析

Clinical analysis on two cases of lymphadenoma misdiagnosed as tuberculosis pleural effusion

回顾性分析本院确诊的2例胸腔积液腺苷脱氨酶(ADA)增高的淋巴瘤患者的病例资料,探讨淋巴瘤胸腔积液的临床特点、诊断及与结核性胸腔积液的鉴别。结果发现,2例淋巴瘤患者胸腔积液腺苷脱氨酶均高于界限值,初步诊断均误诊为结核性胸腔积液。对于胸腔积液腺苷脱氨酶升高但临床症状或实验室检查与结核不符的患者,应注意排查非结核性胸腔积液可能。

Retrospectively review the clinical data of 2 cases of patients with lymphadenoma effusions with high adenosine deaminase,to explore the significance,diagnosis and differential diagnosis of lymphadenoma effusions from tuberculous effusion.Adenosine deaminase level of two patients is higher than threshold value,primary diagnosis misdiagnoses as tuberculous pleural effusion.Nontuberculous effusions should be considered for those with high effusion adenosine deaminase activity but incongruent clinical manifestation or laboratory examination.