老年人恶性胸腔积液的临床特点

目的探讨老年人恶性胸腔积液的临床特点。方法对老年胸腔积液患者５７例和非老年患者３７例进行流行病学，临床表现，Ｘ线形态等方面的比较，观察其临床特点。结果恶性组男性多于女性。吸烟时间的长度和吸烟量与发生肺癌的危险性相关。６０～７９岁是恶性胸腔积液的高发年龄。血性胸液抽液后增长快非抗癌治疗无效。结论老年胸腔积液恶性病变比例高于良性病变。临床上应重视作Ｘ线和痰细胞学，纤支镜或胸部ＣＴ等检查，以提高老年恶性胸腔积液的早期诊断率。

The clinical features of malignant pleural effusion in elderly

bjective To study the clinical feature of malignant pleural effusion in elderly. Methods 57 aged patients of pleural effusion and 37 non - elderly patients were compared in epidemiology,clinical features and X - ray findings. Results There were more man than woman in malignant tumour group.The period and amount of smoking were correlated with susceptibility to Lung cancer.The high prevalence rate were in 6079 years of age. Malignant pleural effusion should be questioned in rapidly increasing of bloody pleural effusion and no inpravement with noncer therapy. Conclusion Incidence of malignant diseases were more than benign neoplasm.X - ray examination of chest,sputum cytology,bronchofiberscope or CT of chest should be taken into account,to be enhance earlier than diagnosis of malignant pleural effusion in elderly.