150例胸腔积液诊疗分析

Analysis of 150 pleural effusion patients'clinical situation

目的如何简单快捷的对胸腔积液病因作出早期诊断。方法回顾性分析2010年收治的150例胸腔积液患者的病历,从典型的临床症状和检测胸腔积液腺苷脱氨酶(ADA)、癌胚抗原(CEA)、病理结果进行对比。结果结核性胸腔积液组临床以发热、胸痛为突出症状,ADA≥45 u/L(阳性)92.9%,明显高于恶性组33.3%和其它组20.0%;恶性组CEA≥10μg/L(阳性)88.9%,明显高于结核组3.2%和其它组。结论胸腔积液患者根据临床症状和胸腔积液腺苷脱氨酶(ADA)、癌胚抗原(CEA)联合检测,就能在患病初期作出病因诊断,从而尽早进行病因治疗,此法准确率高,值得推广。

Objective How to make the early diagnosis of pleural effusion in simple and quick way. Methods A retrospective analysis of 150 cases of treated patients with pleural effusion record in 2010 year, by comparerision with the typical clinical symptoms and the de- teetion of pleural effusion adenosine deaminase （ADA）, carcinoembryonic antigen （CEA） and pathological results. Results The prominent clinical symptom of tuberculous pleura] effusion group were fever and chest pain, with ADA ≥45 u/L （positive）92.9 %, significantly higher than the malignant group（33.3 %） and other groups（20.0 %）; Malignant group, CEA ≥10μ g/L（positive） 88.9 %, significantly higher than the TB group （3.2 %） and other groups.Conclusion Based upon the clinical symptoms in patients with pleural effusion, pleural effusion adenosine deaminase （ADA） and carcinoembryonic antigen （CEA）, a joint detection can be made in the early diagnosis of this pathogeny, so as to make early causes treatment. This method proved to be with high accuracy and worthy to be promoted.