胸水细胞学检查诊断结核性胸膜炎

Pluarorrhea cytology omalysis for the dignosis of tuberculous pluarisy

目的:通过胸水涂片细胞学分类计数检查寻找诊断结核性胸膜炎的病理学依据。方法:收集本院167例临床诊断为结核性胸膜炎的胸水,采用分层离心法制成涂片,HE染色,高倍镜分类计数。结果:涂片中除红细胞外,成熟淋巴细胞占细胞总数的81.44％,间皮细胞占3.11％,嗜酸性粒细胞占10.24％。查阅了有关文献后得出:胸水涂片中如果成熟淋巴细胞占80％以上,间皮细胞占4％以下,嗜酸性粒细胞占10％以上。可以作为病理学诊断结核性胸膜炎的依据。供临床参考。

Pleurorrhea cytotogital classification was used to searching the pathologic evidence for the dignosis of tuberculous pleurisy pleurorrhea of 167 patients with clinical tuberculous pleurisy in our hospital were collected and made up smear by seperation and centrifugation. Smears were dyed with HE and counted the cell number under microscope. The results showed that except for erythroyte. The total cells consisted of 81. 44% lymphocytes. 3. 11 % mesenchy macyts and 10. 24% eosimophile. It is suggest that total cell of pleurorrhea were ansisted of more than 80% mature lymphocytes and 10% eosinophile. less than 4% mesenchymacyts as a pathologic evidence for the dignosis of tuberculosis pleurisy.