169例胸腔积液病因分布和临床特点

目的探讨胸腔积液的病因分布和临床特征。方法分析我院所有收治并且资料完整的胸腔积液患的临床资料。结果 169例胸腔积液患者的病因依次为:结核性胸膜炎89例(52.66%)、恶性肿瘤35例(20.71%)、心功能不全18例(10.65%)、肺炎或肺部感染17例(10.06%),其他10例。结核性胸腔积液以40岁以下患者占48.3%,老年病人在增加,腺苷脱氨酶的敏感率为79.78%;恶性胸腔积液以60岁以上患者居多(65.7%),40岁以下极少(5.7%)。恶性胸腔积液查到肿瘤细胞者26例,阳性率为73%。结论胸腔积液主要病因是结核和肿瘤,结核患者以青年居多,恶性肿瘤以老年患者居多。临床综合分析是判断病因的关键。

The etiologies and clinical characteristics of 169 cases of pleural effusion

Objective To investigate the etiologies and clinical characteristics of pleural effusion.Methods 169 pleural effusion patients were analyzed.Results The etiology of 169 cases of pleural effusion were as follows:tuberculous pleurisy in 89 cases(52.66%),malignancy in 35 cases(20.71%),heart failure in 18 cases(10.65%),pneumonia or lung infection in 17 cases(10.06%),the 10 cases of others.Tuberculous pleural effusion occurred mainly in patients under 40 years of age(48.3%),increase in elderly patients,adenosine deaminase sensitivity was 79.78%;malignant pleural effusion occurred mainly in patients over 60 years of age(65.7%),some under the age of 40 less(5.7%).Malignant pleural effusion tumor cells were found in 26 cases,the positive rate of 73%.Conclusion The major etiology of pleural effusion is tuberculosis and cancer,tuberculosis is more common in younger patients and malignant tumors mainly in elderly patients.Comprehensive analysis is critical to determine the etiology.