胸腔积液检验方法的改进及临床应用

目的对胸腔积液细胞形态学检验方法进行改进，使之更简便、快速、灵敏。方法细胞形态学检查时涂片5～6张，其中2～3张平行尾涂片；在瑞姬染液中加入部分表面活性剂，促进细胞着色。结果90例胸腔积液中15例查见癌细胞，1例查见霉菌；癌细胞主要分布于涂片的尾部，每张涂片仅有2～5个癌细胞时、亦可明确诊断。结论该法简便、快速、准确，适于基层医院的推广应用。

The ameliorative method of examination in pleural effusion and clinical application

Objective To ameliorated the experimental method of cellulor morphology so as to be more simple, speedy and sensitive. Methods 5 -6 smears were made in the examination of cellular morphology, 2- 3 smears had parallel tail;Little of surfactant was joined in wright-Giemsa staining fluid ,which can accelerate stain. Results 15 cases with cancer cell, 1 case with mildew was found in 90 cases of pleural effusion, cancer cell distribute on the tail of smear, only 2 - 5 cancer cells could be clearly diagnosed. Conclusion This method is simple, speedy, accurate, suitable to be used in the base hospital.