多浆膜腔积液241例临床分析

Clinical analysis of 241 cases of polyserositis

目的 探讨多浆膜腔积液的临床特点及其与常见病因之间的关系。方法 回顾性分析北京协和医院诊断为多浆膜腔积液 2 41例患者的临床资料。结果 多浆膜腔积液最常见病因为恶性肿瘤 ( 3 1.3 % ) ,其次为结缔组织疾病、结核、肝硬化、心功能不全等 ;结核的发病率较单部位积液者低。多浆膜腔积液的病因与积液部位、积液性质、性状及下肢水肿等有一定关系。结论 多浆膜腔积液病因复杂 ,鉴别诊断比较困难 ,特别是结核性积液与恶性积液在症状、体征、积液的各种性状上有重叠 ,因此 。

Objective To study the clinical manifestations of the polyserositis and its relationship with the common causes.Methods The clinical manifestations of 241 patients diagnosed of polyserositis in our hospital were summarized and analyzed retrospectively.Results The most common cause of polyserositis was metastasis of malignant tumor(31.3%),other common causes were connective tissue disease(CTD),tuberculosis,cirrhosis,congestive heart failure etc.The incidence of tuberculosis was much lower than that in mono-sited effusion.The combination of effusion sites,the character of effusion such as transudative or exudative,bloody or not,with or without edema of lower limbs were related with etiology factors.Conclusion The causes of the polyserositis are complicate and differential diagnosis is difficult to make especially within the malignancy and tuberculosis.The differential diagnosis should be based on all sorts of clinical data.