结核性胸膜炎235例临床分析

目的 总结结核性胸膜炎的临床特点,并探讨治疗方案.方法 对235结核性胸膜炎患者的临床特征进行回顾性分析.结果 年龄分布:≤40岁占64.6%,＞60岁占22.2%,平均39.2岁.发热、胸痛、咳嗽的发生率分别为71.5%、60.9%和52.8%.单侧胸水占92.4%,双侧胸水占7.6%,左右侧发生率分别为44.3%及48.1%,中、小量胸水共占94.5%,大量胸水占5.5%.胸水ADA＞45IU者占81.3%.PPD阳性反应者占82.9%.红细胞沉降率增快者占65.1%,均值为44.9 mm/1h.结论 掌握结核性胸膜炎的临床特点,综合分析,早期诊断,合理治疗,可取得较好疗效.

Clinical analysis of 230 cases with tuberculous pleurisy

[Objective] To summarize the clinical traits of tuberculo pleurisy and discuss the treatment methods. [Methods] 235 of tuberculous pleurisy from 1996 to 2000 in hospital were reviewed and analyzed. [Results] 64. 6% of the patients age is below 40 years old and 22. 2% of them is over 60 years old. The average age is 39.2. The rate of fever, chest pain and cough respectively is 71.5%, 60.9% and 52.8%. 92.4% of them have hydrocele in one side of the chest and 7.6% in both sides, the incidence of left and right side are respectively 44.3% and 48.1%. 94.5% of the patients' hydrocele is in middle or small quantity. Only 5.5% is in large quantity. The patients with ADA>45IU occupied 81.3% 82.9% of them have the positive reaction to PPD. The patients whose red cell ESR quicker take 65.1%, the average is 44.9mn/1h. [Conclusion] A better results of treatment can be achieved by mastering the characteristics of tuberculous pleurisy, comprehensive analysis, early diagnosis and regular therapy.