摘要
目的观察老年胸腔积液的病因及良、恶性胸腔积液的比较，从临床角度了解老年良、恶性胸腔积液的特点。方法对69例老年胸腔积液的临床资料进行回顾性分析。结果69例老年胸腔积液中，良性积液患者22例（31．9％），其前三位病因是结核性胸膜炎、心功能不全及脓胸。恶性积液患者47例（68．1％），病因前三位是肺癌、乳腺癌及肝癌。良性积液治疗有效率81．8％，明显高于恶性的68．1％（P〈0．05），前组的临床表现及辅助检查的阳性率明显低于后组（P〈0．05～0．01）。结论良、恶性胸腔积液的比较在临床表现及辅助检查方面均有一定差异。
Objective To observe and compare the cause of benign and senile hydrothorax, and investigate their clinical features. Methods The clinical data of 69 cases with senile hydrothorax was analyzed retrospectively. Results Twenty two cases （31. 9% ） were with benign hydrothorax and the main three causes of disease were tuberculous pleuritis, cardiac insufficiency and empyema respectively. 47 cases （ 68.1% ） were with malignant hydrothorax and the main three causes of disease were pulmonary carcinoma, breast carcinoma and hepatic carcinoma respectively. The curative effective rate of benign hydrothorax （ 8 1. 8 % ） was significant higher than that of malignant hydrothorax 68.1% （ P 〈 0.05 ）. The positive rate of clinical indication and accessory examination of benign hydrothorax group was lower obvious than that of malignant hydrothorax group （ P 〈 0.05 -0.01 ）. Conclusions There are obvious difference in clinical manifestations and accessory examination between benign and malignant senile hydrothorax.
出处
《实用全科医学》
2006年第5期566-567,共2页
Applied Journal Of General Practice
关键词
老年
胸腔积液
良性
恶性
Senile hydrothorax
Benign
Malignant
