胸水及血清生化指标对老年胸水病因的综合性诊断经验分析

Experience of Comprehensive Diagnosis on Elderly Patients with neural Effusion determined by Hydrothorax and Serum Measurements

目的:多数老年患者在患胸腔积液时合并多种合并症,难以接受有创的检查方法,采用多项无创血清、痰、分泌等生化多指标分析,可使老年胸水的病因诊断准确率提高。方法:住院治疗的81例胸水患者分为老年和非老年两个组,根据临床表现进行病因分析,所有患者都进行了胸水常规、生化结果分析、胸水LAM-lgG、TB-PCR、PFLMNF、肿瘤脱落细胞、血清ADM生化分析,以及PPD 1:1000皮试。结果:<60岁44例和≥60岁41例胸腔积液患者的临床资料总结表明,两个年龄组之间的患病率无明显差异(P>0.05),但发生合并症的机会老年组明显高于非老年组(P<0.01)。两个年龄组结核性胸水均占第一位,结核性发热明显高于肿瘤(P<0.05)。结论:老年与非老年的胸腔积液的主要病因均为结核性,发生合并症以老年组多见。

Objective: To investigate the values of comprehensive diagnosis in elderly patients with pleural effusion by serum and hydrotherapic measurements. Methods: 81 cases of pleural effusion were selected and divided into two groups: elderly group (age >>>> 60yrs, n = 41) and non - elderly group (age < 60yrs, n = 44), whose pleural effusion routine test, biochemical assay, pleural LAM - lgG,TB - PCR,PFLMNF, as well as tumor cells in pleural effusion and serum ADM were determined. In addition, PDD 1 : 1 000 for tuberculosis (IB) was measured.Results: There were no difference in prevalence of pleural effusion between two groups. The risk rate of advent events occurred more in elderly group than non - elderly group (P < 0.01). TB pleural effusion happened most fluently in both elderly and non - elderly groups. Conclusion: The main cause of pleural effusion was TB, which complainment events occurred more in elderly patients.