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目的探讨胸腔积液的主要病因和诊断与治疗。方法回顾性分析80例胸腔积液住院患者的临床资料。结果胸腔积液的病因依次为:结核性胸腔积液42例(52.5%),癌性胸腔积液15例(18.8%),类肺炎性胸腔积液12例(15%),心功能不全8例(10%),结缔组织病2例(2.5%),不明原因性1例(1.25%)。本组80例患者治愈47例,好转22例,无效5例,随访失败3例,死亡3例。结论胸腔积液的主要病因依次为结核性、癌性胸腔积液、感染性胸腔积液、心功能不全、结缔组织病等,尽管有许多手段可用于确定病因,但仍有1例诊断不明。
Objective To investigate the main causes and diagnosis and treatment of pleural effusion. Methods The clinical data of 80 patients with pleural effusion in hospital were analyzed retrospectively. Results The causes of pleural effusion were as follows: 42 cases (52.5%) of tuberculous pleural effusion, 15 cases (18.8%) of cancerous pleural effusion, 12 cases of pneumocystic pleural effusion (15%), 8 cases of cardiac insufficiency Cases (10%), connective tissue disease in 2 cases (2.5%), unexplained in 1 case (1.25%). The group of 80 patients were cured in 47 cases, improved in 22 cases, 5 cases of failure, follow-up failure in 3 cases, 3 patients died. Conclusions The main causes of pleural effusion were tuberculous, cancerous pleural effusion, infectious pleural effusion, cardiac insufficiency, connective tissue disease and so on. Although there are many ways to determine the etiology, one case is still unknown.