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目的探讨影响结核性渗出性胸膜炎发生胸膜肥厚的因素。方法对2000年1月-2007年12月收治的72例结核性渗出性胸膜炎患者发生胸膜增厚的因素进行分析。结果胸膜肥厚的发生率与年龄、就诊时间、胸水蛋白含量、血浆白蛋白含量、胸水中细胞数及是否抽液有关。结论高龄患者比较容易发生胸膜增厚;就诊晚的患者胸膜增厚的发生率高;胸水蛋白含量高易发生胸膜增厚;血浆白蛋白水平低下胸膜增厚的发生率显著增高;积极的胸穿抽液可避免胸膜增厚的发生。
Objective To investigate the factors that affect the occurrence of pleural thickening in tuberculous exudative pleurisy. Methods 72 patients with tuberculous exudative pleurisy admitted to our hospital from January 2000 to December 2007 were analyzed for their pleural thickening. Results The incidence of pleural hypertrophy and age, treatment time, hydronephrotic protein content, plasma albumin content, pleural fluid cells and whether pumping liquid. Conclusions Pleural thickening is more likely to occur in the elderly patients. The incidence of pleural thickening is higher in patients who are late for treatment. Pleural thickening is more likely to occur in patients with high pleural fluid protein content, and the incidence of pleural thickening is significantly higher in patients with low serum albumin. Suction can prevent the occurrence of pleural thickening.