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针刺胸膜活体组织检查法国内外陆续有不少报道,因该法简便易行,且对于确定不明原因的胸腔积液有重要的作用,故本科于1987年12月～1989年1月对住院及门诊胸腔积液病人进行了胸膜活检,其诊断结果报道如下。对象和方法我们检查了32例,其中男21例,女11例;年龄19岁～75岁;18例积液在右侧,14例在左侧。我们在每次胸膜活检同时,亦采集胸水检查,根据同一时间胸水及血清中蛋白和乳酸脱氢酶水平,29例诊断为渗出液,3例为漏出液。穿刺方法:全部患者均采用上海产改良的 Cope 钝端钩针,活检前须经胸部 X 线检查及超声波胸水定位。术前准备同胸腔穿刺
Acupuncture pleural biopsy has many reports at home and abroad, because the method is simple and easy, and for the determination of unexplained pleural effusion has an important role, so undergraduate from December 1987 to January 1989 on the hospital and Outpatient pleural effusion patients pleural biopsy, the diagnosis reported as follows. Subjects and methods We examined 32 cases, including 21 males and 11 females; aged 19 years to 75 years; 18 cases of effusion in the right side and 14 cases in the left side. We also collected pleural fluid at the same time of each pleural biopsy, according to the same time, pleural fluid and serum levels of protein and lactate dehydrogenase, 29 cases were diagnosed as exudate, 3 cases of leakage. Puncture method: All patients were treated with Shanghai-made Cope blunt-end crochet needle. Before biopsy, chest X-ray examination and ultrasound pleural fluid localization were required. Preoperative preparation with thoracentesis