3例青年人良性血性胸腔积液病因分析

Etiological Analysis of Three Young Cases With Benign Bloody Pleural Effusion

目的总结3例青年人良性血性胸腔积液的临床特点,分析病因,提高临床医师对青年人血性胸腔积液的认识,减少误诊、误治。方法对病因明确的3例良性血性胸腔积液的青年患者的临床资料进行回顾分析。结果 3例青年患者血性胸腔积液,经检查及化验,最终诊断:例1肺栓塞,例2肺动静瘘并膈离肺,例3大动脉炎累及肺动脉。胸腔积液均为良性,病因治疗,愈后良好。结论青年人血性胸腔积液在结核、肿瘤依据不足的情况下,需慎重,积极寻找其它病因。上述3例青年患者行肺动脉增强CT诊断,血性胸腔积液均与血管相关,病因治疗直接影响愈后。

Objective To summarize the clinical characteristics and analyze the etiology of bloody pleural effusion in three young patients in order to improve clinician’s understanding of bloody pleural effusion in young patients and reduce misdiagnosis and mistreatment. Methods The clinical data of three young cases with benign bloody pleural effusion with determined etiology were analyzed retrospectively. Results Three young cases with bloody pleural effusion were benign.Three young patients were diagnosed with pulmonary embolism,pulmonary arteriovenous malformationswith pulmonary sequestration and Takayasu arteritis involving pulmonary artery. after inspection and tesing.Prognosis was good because of etiology treatment. Conclusion Under the condition of insufficient evidence of tuberculosis and tumors, the diagnosis of young patient with bloody pleural effusion should be cautious and to find out the etiology of the disease is extremely important. By scanning pulmonary artery contrast-enhanced Computed Tomography in the above three young cases, we find three cases of bloody pleural effusions is related to vessels. Etiological treatment directly affects the prognosis of bloody pleural effusion.