老年结核性胸腔积液的临床特点

作者对５２例结核性胸腔积液的老年患者的临床特点进行了分析，并与１４９例该病青年患者作了比较。结果：老年患者的症状以咳嗽、气促为主；体征以胸腔积液量少且多单侧积液为特点；结核菌素试验阴性率高；抗结核治疗效果好。作者认为：遇有单纯性积液的老年患者，在尽量抽出积液后，立即摄高电压胸部后前位及侧位Ｘ线胸片，对原因不明的胸腔积液，可行抗结核试验性治疗。

CLINICAL CHARACTERISTICS OF TUBERCULOUS PLEURALEFFUSION IN ELDERLY PATIENTS

This paper analysed clinical data of 52 elderly patients with tuberculouspleural effusion and compared them with 149 young patients with the same disease. The clinical characteristics of tuberculous pleural effusion in elderly patients were that the main symtoms were cough and short breath, pleural effusion usually was seen in unilateral thoracic cavity and its amount was smaller,the negativity rate of tuberculin test was higher and the antituberculous therapy was marked effective. The authors recommended that after drawing off pleural effusion,the patients must have a high-voltage chest X-ray at posteroanterior position and lateral position,and a trial antituberculous therapy might be taken for unknown pleural effusion.