结核性多浆膜腔积液临床分析

目的探讨结核性多浆膜腔积液的临床特点。方法回顾性分析笔者所在医院2000年至2009年3月收治的50例结核性多浆膜腔积液患者的临床资料。结果结核性多浆膜腔积液占收治结核病患者的1．28％，占结核性浆膜腔积液患者的4．73％。病变部位以胸腔积液合并腹腔积液病例为多（36％），其次为胸腔积液合并心包、腹腔积液（26％）．再其次为胸腔积液合并心包积液（22％）、心包积液合并腹腔积液（14％）。积液均以中量为主，大量积液较为少见。结核性多浆膜腔积液病例往往存在血行播散性结核和浸润型结核，或并发有肺外结核，结核中毒症状较为明显。结论结核性多浆膜腔积液多是重症结核的表现，但临床表现并无特异性，故易误诊，在积极正规抗结核治疗基础上，抽液引流和早期常规应用激素治疗，结核性多浆膜腔积液预后良好。

Clinical analysis of tuberculosis polyserositis

Objective To study the clinical characteristies of the tuberculosis polyserositis patients. Methods The clinical manifestation of the 50 diagnosed of tuberculosis polyserositis patients were summarized and analyzed retrospectively. Results The incidence of tuberculosis polyserositis was 1.28% in all the tuberculosis patients and 4. 73% in the tuberculous serositis patients. The 36% cases of the effusion in thorcie and abdominal cavity were more than the 26% cases of the effusion in thorcic and abdominal and pericardium cavity. The 22% cases of the effusion in thorcie and pericardium cavity were more than the 14% cases of the effusion in pericsrdium and abdominal cavity. Many patients of the tuberculosis polyserositis had the disseminated and the active puhnonary tuberculosis. Condusion The tuberculosis polyserositis were the expressions of the far advanced tuberculosis. The clinical manifestation of the polyserositis was complicate and difficult to make the differential diagnosis. The prognosis of the tuberculosis polyserositis were well under the proper treatments.