论文部分内容阅读
目的分析胸腔积液的病因和临床特点。方法回顾性分析淅川县人民医院收治的303例胸腔积液患者的临床资料。结果通过综合分析患者临床表现及辅助检查资料,303例胸腔积液患者的病因依次为:结核性胸腔积液127例(41.9%),恶性胸腔积液75例(24.8%),心功能不全35例(11.6%),肺炎旁性胸腔积液30例(9.9%),结缔组织疾病17例(5.6%),低蛋白血症15例(5.0%),外伤性2例(0.7%),不明原因乳糜性2例(0.7%)。结论结核和恶性肿瘤是引起胸腔积液的主要原因,尽快鉴别二者是诊断、治疗和改善预后的关键环节。
Objective To analyze the etiology and clinical features of pleural effusion. Methods The clinical data of 303 patients with pleural effusion admitted to Xichuan County People’s Hospital were retrospectively analyzed. Results By comprehensive analysis of clinical manifestations and auxiliary examination data, 303 patients with pleural effusion etiology were: tuberculosis pleural effusion in 127 cases (41.9%), malignant pleural effusion 75 cases (24.8%), cardiac insufficiency 35 (11.6%), pneumothorax pleural effusion in 30 cases (9.9%), connective tissue disease in 17 cases (5.6%), hypoproteinemia in 15 cases (5.0%) and traumatic injury in 2 cases (0.7%). Cause chylous in 2 cases (0.7%). Conclusions Tuberculosis and malignant tumors are the main causes of pleural effusion. Identifying the two as soon as possible is the key to diagnosis, treatment and prognosis.