渗出性胸腔积液临床特征分析

Clinical Analysis on Therapy for Effusion Hydrothorax

目的探讨渗出性胸腔积液(PEE)的病因及鉴别诊断。方法回顾性分析了207例胸腔积液患者各年龄组的临床表现资料。结果渗出性胸腔积液的病因:结核性60.87%,恶性24.15%,肺炎及脓胸7.25%,肺栓塞1.93%,结缔组织疾病1.93%,气胸外伤2.42%,不明原因1.45%。结论结核与肿瘤是致胸腔积液的主要病因,胸水及血清常规检查有助于良性与恶性的鉴别,对性质的鉴别可直接影响患者的临床疗效及预后。

Objective To determine the causes and differential diagnosis of effusion hydrothorax （PEE）. Methods Clinical data of 207 cases with effusion hydrothorax were retrospectively analyzed according to groups of different ages. Results There were several causes of effusion hydrothorax, such as 60. 87% of tuberculous pleuritis. 24. 15% of malignant pleuritis,7.25% of pneumonia and pyothorax, 1.93 % of pulmonary embolism, 1.93% of disease of connective tissue, 2.42% of pleural trauma and 1.45% of other causes, Conclusion The tuberculosis and tumor are the main causes of pleural effusion. The routine test of hydrothorax and serum is advantage of differential diagnosis between benign and malignant effusion. Identification of effusion can directly affect the clinical therapy and prediction of patient＇ s disease.