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回顾性分析2010年4月～2011年4月我院收治的118例胸腔积液患者的临床资料,分析病因及诊断方法。结果良性胸腔积液82例(69.5%),恶性胸腔积液36例(30.5%);前5位病因,分别为结核57例(48.3%)、原发支气管肺癌23例(19.5%)、肝硬化9例(7.6%)、心功能不全7例(5.9%)、肺炎6例(5.1%);≤40岁患者以结核性胸腔积液为主,≥60岁患者以恶性胸腔积液为主;恶性胸腔积液癌胚抗原值明显高于良性胸腔积液癌胚抗原值,差异具有统计学意义(P<0.01)。胸腔积液的病因较为复杂,其主要病因为结核和肿瘤,临床诊断中,应结合患者临床症状,给予实验室、影像学检查,其中采用癌胚抗原检测对进一步鉴别良恶性胸腔积液有重要临床价值。
The clinical data of 118 cases of pleural effusion admitted to our hospital from April 2010 to April 2011 were analyzed retrospectively to analyze the etiology and diagnosis. Results There were 82 cases (69.5%) of benign pleural effusions and 36 cases (30.5%) of malignant pleural effusion. The top five causes were tuberculosis (57.3%), primary bronchogenic carcinoma There were 9 cases (7.6%) of sclerosis, 7 cases (5.9%) of cardiac insufficiency and 6 cases of pneumonia (5.1%). The patients with tuberculosis-type pleural effusion were less than 40 years old and the patients of more than 60 years old were mainly malignant pleural effusion The value of carcinoembryonic antigen in malignant pleural effusion was significantly higher than that in benign pleural effusion (P <0.01). The etiology of pleural effusion is more complex, the main cause is tuberculosis and cancer, clinical diagnosis should be combined with the clinical symptoms of patients given laboratory, imaging studies, which use of carcinoembryonic antigen test for the further identification of benign and malignant pleural effusion is important Clinical Value.