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结核性渗出性胸膜炎的病原诊断,长期以来主要依靠胸水结核杆菌培养,由于胸水结核杆菌培养的阳性率很低,且培养所需时间较久,因此常延迟诊断。本文是作者报告在最近三年内,进行壁层胸膜穿刺活体组织检查的经验。作者采用De Francis等氏介绍的穿刺方法,在普鲁卡因浸润麻醉后,先用19号针头,接連注射器,渐渐刺入胸膜腔,进行常规胸腔穿刺。当抽得胸水后,针头不再刺深,用止血钳在平皮肤的水平夹住针头后拔出针头,针尖与止血钳之间的距离即代表壁层胸膜的深度,壁层胸膜深度减去5—10毫米,所得出的距
Tuberculous exudative pleurisy pathogen diagnosis, has long been mainly rely on the culture of Mycobacterium tuberculosis, the positive rate of Mycobacterium tuberculosis culture is very low, and the culture takes a long time, it is often delayed diagnosis. This article is the author’s experience in performing biopsy of parietal pleural puncture in the last three years. The authors used De Francis et al’s introduction of the puncture method, in the procaine infiltration anesthesia, first with a 19-gauge needle, followed by a syringe, and gradually piercing the pleural cavity for routine thoracentesis. When pumping pleural fluid, the needle is no longer stabbed, with the hemostatic forceps in the level of the skin after pulling the needle pin, the distance between the needle tip and the hemostatic force represents the depth of the parietal pleura, parietal pleura depth minus 5-10 mm, the resulting distance