癌性胸腔积液50例临床分析

本文报告５０例癌性胸腔积液的临床特点，本病多见于４０岁以上的人群，有进行性加重的胸痛和呼吸困难，多为大量血性胸水，增长速度快，而无明显毒性症状，多来自肺癌，腺癌占第１位。本组资料显示胸水中乳酸脱氢酶、癌胚抗原的含量对癌性胸水和结核性胸术鉴别是有帮助的，如癌胚抗原、乳酸脱氢酶和铁蛋白三项指标综合判定意义更大，而单一铁蛋白测定对两者鉴别意义不大。

A Clinical Analysis of 50 cases with Cancerous Pleural Effusion

cases with cancerous pleural effusion were reported.This disease was commonly seen over40 years old. They had progressive chest pain and dyspnea. The effusion was bloody,in largeamount and in rapid increament,but they no obivous toxic symptoms. They originated frequentlyfrom lung cancer. Adenocarcinoma was commonest of all. Our data showed that level of LDH andCEA in the pleural nuid was helpful to distinguish between cancerous and tuberculosis pleural effusion. Measuring the level of CEA,LDH and ferritin was more important,while measuring thelevel of ferritin had no important value.