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目的如何简单快捷的对胸腔积液病因作出早期诊断。方法回顾性分析2010年收治的150例胸腔积液患者的病历,从典型的临床症状和检测胸腔积液腺苷脱氨酶(ADA)、癌胚抗原(CEA)、病理结果进行对比。结果结核性胸腔积液组临床以发热、胸痛为突出症状,ADA≥45 u/L(阳性)92.9%,明显高于恶性组33.3%和其它组20.0%;恶性组CEA≥10μg/L(阳性)88.9%,明显高于结核组3.2%和其它组。结论胸腔积液患者根据临床症状和胸腔积液腺苷脱氨酶(ADA)、癌胚抗原(CEA)联合检测,就能在患病初期作出病因诊断,从而尽早进行病因治疗,此法准确率高,值得推广。
The purpose of how to quickly and easily diagnose the cause of pleural effusion. Methods The clinical data of 150 cases of pleural effusion admitted in 2010 were retrospectively analyzed. The typical clinical symptoms and detection of pleural effusion adenosine deaminase (ADA), carcinoembryonic antigen (CEA) and pathological results were compared. Results In the tuberculous pleural effusion group, fever and chest pain were the most prominent symptoms. The ADA≥45 u / L (positive) was 92.9%, significantly higher than 33.3% in the malignant group and 20.0% in the other group. The CEA of the malignant group was 10μg / L ) 88.9%, significantly higher than the 3.2% TB group and other groups. Conclusion According to clinical symptoms and pleural effusion adenosine deaminase (ADA), carcinoembryonic antigen (CEA) combined detection, patients with pleural effusion can make the etiological diagnosis at the early stage of disease, so as to make the etiological treatment as early as possible. The accuracy of this method High, worth promoting.