结核病愈后胸腔积液诊断的探讨

目的：分析结核病治愈后再次出现胸腔积液的病因。方法：回顾性分析1991年1月至2001年6月32例结核病治愈后再次出现胸腔积液的一般情况,临床表现,相关检查与诊断之间的关系。结果：结核病愈后胸腔积液多为非结核性,占71．9％,尤以恶性多见,占65．6％,而结核性较少,占28．1％,两有显性差异（P＜0．01）,结论：结核病愈后胸腔积液多为非结核性的,尤以恶性多见,临床应高度重视。

Research on the diagnosis of hydrothorax after the recovery of tuberculosis (Including 32 clincal cases analysis)

Objective To find the reasons of hydrothoraxemerging after the recovery of tuberculosis.Methods The data of 32 concerned cases (from 1991 to 2001) were analyzed. The relationship between general conditions, clinical symptoms concerned examinations and the diagnoses were studied.Results In majority (71.9%), patients with hydrothorax after the recovery of tuberculosis were not of tuberculosis. Most had cancer (65.6%). Tuberculosis consisted of only 28.1%of all patients (P<0.01).Conclusion Most hydrothorax patients after the recovery of tuberculosis is not of tuberculosis, while cancer is found in majority. Clinical workers should pay more attention to it in order to avoid misdiagnosis.