论文部分内容阅读
我院自1986年8月～1997年8月共收治146例老年人胸腔积液患者,其中结核性胸膜炎(简称结胸)35例,由于老年人结核性胸膜炎症状轻微,有时胸水呈血性,故常被误诊为恶性胸水,使病情恶化.为提高老年人结胸的诊治,现将我们收集的病例分析如下.1 临床资料1.1 一般资料 35例老年结胸中,男性29例,女性6例,年龄最小60岁,最大78岁,平均69.3岁,病程2月以内10例,2个～3个月11例,3个～4个月6例,4个～5个月3例,5个～6个月1例,半年以上4例.1.2 诊断依据 ①根据痰中找到结核菌,除外其它性胸腔积液10例;②胸膜活检病理证实7例;③胸部X线或CT示肺部浸润性肺结核并结合临床,排除其它性胸
Our hospital from August 1986 to August 1997 were treated 146 cases of elderly patients with pleural effusion, of which 35 cases of tuberculous pleurisy (referred to as the chest), due to mild symptoms of tuberculous pleurisy in the elderly, sometimes pleural effusion was bloody, so often Was misdiagnosed as malignant pleural effusion, so that the disease is deteriorated to improve the diagnosis and treatment of elderly patients with cesarean section, the case we collected now as follows.1 Clinical data 1.1 General Information 35 cases of elderly patients with chest, 29 males and 6 females, the youngest 60 years old, maximum 78 years old, average 69.3 years old, 10 cases within 2 months of disease duration, 11 cases of 2 to 3 months, 6 cases of 3 to 4 months, 3 cases of 4 to 5 months, 5 to 6 cases Month in 1 case, more than six months in 1.2 cases based on the diagnosis of TB found in sputum, except for 10 cases of other pleural effusion; pleural biopsy confirmed in 7 cases; chest X-ray or CT showed pulmonary infiltrative pulmonary tuberculosis and Combined with clinical, excluding other sex chest