良性血性胸腔积液42例临床诊断分析

目的 探讨不同病因引起的良性血性胸腔积液的临床特点.方法 分析我院收治的42例良性血性胸腔积液患者的临床资料.结果 42例患者中有结核性胸膜炎27例,占62.8%,其他良性疾病15例(其中肺炎旁4例,系统性红斑狼疮性3例,类风湿性关节炎2例,充血性心力衰竭2例,结节病1例,肝硬化2例,慢性胰腺炎1例),这些患者在既往史、症状及实验室检查等方面各有其特点.结论 良性血性胸腔积液以结核性胸膜炎为主,亦见于其他良性疾病,如果排除恶性肿瘤,且抗结核治疗效果欠佳,则需仔细询问患者既往史,完善有针对性的实验室检查尽早明确病因,积极治疗原发病以改善预后.

Clinical Analysis of 42 Cases with Bloody Pleural Effusion Caused by Benign Disease

Objective To analyze the clinical characteristics of benign bloody pleural effusion from various causes.Methods Analyzed of clinical data of 42 cases with bloody pleural effusion.Results Among 42 patients,27 cases of the bloody pleural effusion caused by tuberculous pleural effusions(62.8%),15 cases caused by other benign disease(4 cases of pneumonia,3 cases of systemic lupus eritematosus,2 cases of rheumatoid arthritis,2 cases of congestive heart failure,a case of sarcoidosis,2 cases of hepatic cirrhosis,and a case of chronic pancreatitis).These patients’past history,simultaneous symptoms and laboratory examination results were looked at.Conclusion Most bloody pleural effusions caused by tuberculous pleuritis,also other benign diseases.When the possibilities of malignant tumors were excluded and tuberculosis treatment has poor curative effects,it is critical to enquire about the past history of patients thoroughly and to take additional related examinations in order toto determine the diagnosis early,treat properly and improve prognosis.