400例老年性双侧胸腔积液的临床分析

400 cases senile bilateral pleural effusion clinical analysis

目的:探讨400例老年性双侧胸腔积液患者病因、诊断方法、临床特点、治疗分析。方法:回顾400例老年性双侧胸腔积液患者通过临床表现、影像学检查、胸水、血清实验室检查、经皮或胸膜活检、支气管镜、脱落细胞检查。结果:在老年性双侧胸腔积液的患者中,良性胸水260例(占65%),其中心力衰竭所致胸腔积液150例(占37.5%),结核性100例(占25%)。恶性胸腔积液130例(占32.5%),其中原发性支气管肺癌84例(占64.6%)。渗出液235例、漏出液98例,介于二者之间67例。结论:老年性双侧胸腔积液心力衰竭积液最多见,其次为恶性胸腔积液,结核性胸膜炎占第3位。

Objective Explore 400 cases of alzheimer＇s patients with bilateral pleural effusion etiology and diagnosis methods,clinical charact eristics,treatment.Methods Review 400 cases of alzheimer＇s patients with bilateral pleural effusion by clinical,radiological examination,hydrothor ax,serum laboratory,percutaneous biopsy,pleura or bronchoscopy,exfoliated cells.Results In elderly patients with bilateral pleural effusion,benign hydrothorax 260 cases,65%of hf,150 patients with pleural effusion（caused by 37.5%）,tuberculous 100 patients（caused by 25%）.13 cases were malignant pleural effusion,（caused by 32.5%）,including primary bronchial lung cancer 84 patients（caused by 64.6%）.Exudate 235 cases,transudate 98 cases,between between 67 patients.Conclusion Senile bilateral pleural effusion hf effusion,second most malignant pleural effusion,tuberculous pleurisy accounted for the third.