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胸膜对疾病的反应方式有限。因此,当胸膜渗出为唯一临床表现时,诊断则发生困难。作者报告7例恶性胸膜渗出患儿之诊断经过,借以提出鉴别诊断。该7例患儿:6男,1女,年龄在5—13岁之间。诊断:淋巴瘤4例、何杰金氏病1例、间皮瘤1例、神经母细胞瘤1例。讨论:儿童颈、胸部淋巴瘤常可产生胸腔积液,多为双侧性。病变机理可能有以下一种或多种:淋巴管或静脉阻塞;胸膜受恶性细胞直接浸润;受累胸膜的渗出
Pleural response to the disease is limited. Therefore, when pleural exudation is the only clinical manifestation, the diagnosis is difficult. The authors report the diagnosis of seven cases of malignant pleural effusion in order to make a differential diagnosis. The seven patients: 6 males and 1 female, aged 5 to 13 years old. Diagnosis: 4 cases of lymphoma, 1 case of Hodgkin’s disease, 1 case of mesothelioma, neuroblastoma in 1 case. Discussion: Children neck, chest lymphoma can often produce pleural effusion, mostly bilateral. Pathological mechanism may have one or more of the following: lymphatic or venous obstruction; pleural malignant cells directly infiltrated; affected pleural exudation