老年癌性胸腔积液的临床特点分析

Clinical characteristics of elderly cancerous effusion

目的 探讨老年癌性胸腔积液的临床特点。方法 通过 2 75例住院老年 ( 60岁以上 )癌性胸腔积液患者的回顾性分析。结果 1.癌性胸水患者的临床症状 ,如咳嗽 ,咯血 ,气急 ,消瘦等方面明显高于结核性胸水患者。两者有显著性差异 (P <0 .0 5 )。 2 .癌性胸水酶学检查ADA含量明显较低 ,两者有显著性差异 (P <0 .0 5 )。 3.CT检查癌性胸水患者胸膜多呈环状胸膜增厚 ,胸膜上有多发性结节存在 ,94%并存胸内病灶或淋巴结肿大。结论 癌性胸水生长快 ,出现临床症状早而明显 ;胸水酶学ADA及CT检查可作为胸水性质的鉴别指标。

Objective To explore the clinical characteristics of elderly cancerous thoracic effusion.Methods 275 elderly patients (over 60 years old) with cancerous effusion were retrospectively analyzed.Results 1.There was a significant difference of symptoms,such as cough,hemoptysis,dyspnea and leanness,between the patients with cancerous effusion and the patients with tuberculotic effusion (P<0.05).2.Enzymologic test showed a lower level of ADA in patients with cancerous effusion than in patients with tuberculotic effusion with significant difference (P<0.05).3.CT showed annular pleural thickening and multiple nodules in patients with cancerous effusion,94% of whom co-existed with intra-thoracic loci and lympadenectasis.Conclusion Cancerous effusion grows very fast with early and obvious symptom.Enzymologic test of ADA and CT examination are of great value in differential diagnosis.