80岁以上老年男性患者103例胸腔积液临床分析

Clinical analysis of 103 elderly male patients with pleural effusion

目的探讨80岁以上老年男性患者胸腔积液的病因、诊断、鉴别诊断及治疗特点。方法对我科收治的资料完整的103例胸腔积液患者的临床资料进行分析。结果 103例患者中良性胸腔积液72例,其中主要因肺部感染引起的胸腔积液35例,由心功能衰竭引起的胸腔积液10例,肺部感染合并心衰或肾功能不全等原因导致的胸腔积液17例,肝硬化、慢性肾功能不全引起的胸腔积液6例,结核性胸腔积液4例;恶性胸腔积液的29例中,原发病为肺癌22例,其他肿瘤7例;此外,不能明确诊断者2例。结论在老年男性患者中,肺部感染、肺部肿瘤、心功能不全是导致胸腔积液的主要原因。

Objective To investigate the etiologies, diagnostic methods and therapy of over 80-year old male patients with pleural effusion. Methods The clinical data of 103 elderly male patients with pleural effusion were retrospectively investigated. Results The etiology of 103 cases were as follows： pneumonia or pulmonary infection （35 cases）, cancer （29 cases）, heart failure （ 10 cases）, cirrhosis of liver and chronic renal insufficiency （6 cases）, tuberculosis （4 cases）, pulmonary infection combined congestive heart failure （17 cases） , and acatalepsy （2 cases）. Conclusion The major causes of elderly male patients with pleural effusion are pulmonary infection, lung cancer and heart failure.