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胸腔积液的病因通常很难确定,肯定诊断常需有组织标本,但盲目的胸腔针刺活检,胸膜肿瘤仅能得到37.5～67%的阳性结果,结核性胸膜炎可获得54～64%的阳性结果,胸水的生化、细菌及细胞学检查联合针刺活检可诊断结核的60～80%及恶性积液的40～60%。因此很多学者提倡作胸膜直视下的活检。本文报告40例用可曲性纤支镜作胸腔检查的结果。男34,女6,年龄16～60岁,23例为单纯积液,
The etiology of pleural effusion is often difficult to determine, affirmative diagnosis often requires tissue specimens, but blind thoracic needle biopsy, pleural tumors can only get positive results of 37.5 to 67%, tuberculous pleurisy can be 54 to 64% positive Results, biochemical, pleural effusion and cytology combined with needle biopsy can diagnose 60 to 80% of tuberculosis and malignant effusion 40 to 60%. Therefore, many scholars advocate biopsy under pleural vision. This article reports 40 cases with flexible fiberoptic bronchoscopy for chest examination results. Male 34, female 6, aged 16 to 60 years old, 23 cases of simple effusion,