论文部分内容阅读
目的：探讨胸腔积液（胸水）的鉴别诊断。方法：复习２０３例胸水的临床及实验室检查资料。结果：恶性占４４．３％，结核性占４７．３％。恶性组胸水瘤细胞阳性率５７．８％；结核组胸水结核菌及Ｌ型浓缩涂片加培养阳性率４８．２％；胸膜活检结核组阳性率５０％，恶性组４０％；ＣＥＡ、ＣＡ５０胸水、血清联合检测诊断恶性胸水特异性９７．０％，敏感性９１．７％。结论：ＣＥＡ、ＣＡ５０血清、胸水联合检测在胸水鉴别诊断中价值较大。
Objective: To investigate the differential diagnosis of pleural effusion (pleural effusion). Methods: Review of 203 cases of pleural effusion clinical and laboratory data. Results: malignant 44.3%, tuberculous accounted for 47.3%. The positive rate of pleural effusion cells was 57.8% in malignant group, 48.2% in tuberculosis group and 50% in tuberculous biopsy group, and 40% in malignant group. CEA, CA50 pleural effusion Serum combined detection of malignant pleural effusion specificity of 97.0%, 91.7% sensitivity. Conclusion: CEA, CA50 serum, pleural fluid combined detection of pleural effusion in the differential diagnosis of greater value.