渗出性胸腔积液80例病因及诊断分析

Analysis of the Pathogeny and Diagnosis With 80 Cases of Exudative Pleural Effusion

目的探讨渗出性胸腔积液的病因及诊断特点。方法回顾性分析80例渗出性胸腔积液患者的临床资料。结果渗出性胸腔积液病因主要为结核性胸膜炎(65%)和恶性肿瘤(20%);而良性渗出性胸腔积液胸水LDH和CEA低于恶性患者,而ADA高于恶性患者(P<0.05)。结论渗出性胸腔积液病因主要为结核和恶性肿瘤,CEA、LDH及ADA含量对诊断有重要意义。

Objective To discuss the pathogeny and diagnosis characteristics of exudative pleural effusion. Methods The clinical data of 80 patients with exudative pleural effusion were analyzed retrospectively. Results The main pathogeny of exudative pleural effusion are tuberculous pleurisy（65%） and malignant tumor（20%）. LDH and CEA of benign exudative pleural effusion were significantly higher than malignant patients, but ADA was significantly lower than malignant patients（P〈0.05）. Conclusion The main pathogeny of exudative pleural effusion are tuberculosis and cancer, the content of CEA, LDH and ADA is important for diagnosis.