渗出性胸膜炎27例临床分析

A Clinical Analysis of 27 Cases of Exudative Pleurisy

经２７例渗出性胸膜炎临床分析表明；胸膜炎多为结核性．发病年龄多为青壮年，男性多于女性．胸水多为淡黄色，血性极少，抗痨治疗效果好．而癌性胸水发病特点，４０岁以上多见，胸水多为血性，购水ＬＤＨ及溶菌酶含量显著增高，积液量大，抗痨治疗无效．因此，本文认为，对渗出性胸膜炎应采用试验性抗痨治疗，尤其是对中年以上的血性胸水，更要从多方面检查，加以综合分析，方能正确诊断，及时治疗．

This paper makes a clinical analysis of 27 cases of exudative pleurisy and draws the following tentative conclusion: pleurisy is usually tuberculous; the morbid age is often the time between youth and manhood; more cases with male than with female; thewater in the thorax is normally faint yellow and seldom bloody; the antituberculotic treatment of such cases is effective meanwhile, the morbidity of hydrothorax caused by cancer has these characteristics:the morbid age is ofter more than 40; the water caused bythe disease is normally found bloody; the content of hydrothorax LDH and Lysozyme is markedly on the increase: there is a lot of accumulative liquid in the thoracic cavity and the antituberculotic treatment is invalid.The author holds that for exudative pleurisy the antituberculotic treatment should be tried on usual occasions,but for the bloody hydrothorax of the patianl above middle age an accurate diagnosis can be made and a timely treatment can be taken only after a thoroughexamination and an analysis by synthesis method are made.