| 108例胸腔积液的临床分析 |
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| 引用本文： | 林岚,曾邦伟. 108例胸腔积液的临床分析[J]. 检验医学与临床, 2011, 8(22): 2725-2726. DOI: 10.3969/j.issn.1672-9455.2011.22.018 |
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| 作者姓名： | 林岚 曾邦伟 |
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| 作者单位： | 1. 福建医科大学附属协和医院呼吸内科,福州,350001
2. 福建医科大学附属协和医院院感科,福州,350001 |
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| 摘 要： | 目的探讨胸腔积液的主要病因和诊断。方法对108例胸腔积液患者的临床资料进行回顾性分析。结果在108例患者中,良性胸腔积液58例(53.70%),其中以结核性胸腔积液最多,共34例(31.48%),恶性胸腔积液40例(37.04%)。恶性胸腔积液的血癌胚抗原(CEA)、胸腔积液CEA、胸腔积液CEA/血清CEA指标显著高于良性者。胸腔积液腺苷脱氨酶对结核性胸腔积液诊断的灵敏度为90.91%,特异度为85.00%,受试者工作特征曲线下面积为0.888。结论胸腔积液的病因以肿瘤和结核为主。血CEA、胸腔积液CEA以及胸腔积液CEA/血CEA是鉴别诊断良、恶性胸腔积液的可靠方法。胸腔积液腺苷脱氨酸对结核性胸腔积液的临床诊断价值很高。
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| 关 键 词： | 胸腔积液 病因 诊断 |
Clinical analysis on the 108 cases of pleural effusion |
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| LIN Lan,ZENG Bang-wei. Clinical analysis on the 108 cases of pleural effusion[J]. Laboratory Medicine and Clinic, 2011, 8(22): 2725-2726. DOI: 10.3969/j.issn.1672-9455.2011.22.018 |
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| Authors: | LIN Lan ZENG Bang-wei |
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| Affiliation: | LIN Lan,ZENG Bang-wei(Department of Respiratory,Union Hospital of Fujian Medical University,Fuzhou 350001,China) |
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| Abstract: | Objective To investigate the cause and diagnosis of pleural effusion.Methods The clinical data of the 108 cases with pleural effusion were analyzed retrospectively.Results There were 58(53.70%) patients with benign pleural effusion and 40(37.04%)patients with malignant pleural effusion in a total of 108 patients.The main cause of benign pleural effusion was tuberculosis,among all 34 patients(31.48%).Serum CEA,pleural fluid levels of CEA,pleural fluid CEA/serum CEA in the patients with malignant pleural effu... |
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| Keywords: | pleural effusion cause diagnosis |
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