结核性胸膜炎发生胸膜肥厚因素的探讨

Influencing factors on pleuralthickening in patients with tuberculous pleuritis

目的 探讨结核性胸膜炎发生胸膜肥厚的因素。方法 对１９９３ 年至１９９５ 年收治的１１３ 例结核性胸膜炎发生胸膜肥厚的原因进行分析。结果 胸膜肥厚的发生与就诊时间、胸水细胞数与蛋白含量及胸穿抽液是否及时有关， 与胸水量无关。结论 降低结核性胸膜炎发生胸膜肥厚的重要措施： １ ． 积极抗结核治疗及积极胸穿抽液， ２ ． 归口管理。

Objective To investigate the influencing factors on pleuralthickening in patients with tuberculouspleuritis . Method To analyse the clinical materials of 113 hospitalized patients with tuberculous pleuritis retro spectively . Results Factors of patient’s delay (duration from onset to consultation) , total nu m ber of the cells ,white blood cell, the content of protein in pleural effusion and aspiration of effusion were associated with the fre quency of pleural thickening . Conclusion 1 . Rational chem otherapy and active aspiration for pleural effusionwere m ostim portant m easuresin the treatment of tuberculous pleuritis . 2 . Patients with tuberculous pleuritis haveto be transfered to the dispensary or hospital specialized to tuberculosis for further treatment.