结核性多浆膜腔积液36例临床分析

目的探讨结核性多浆膜腔积液的临床特点,提高对结核性多浆膜腔积液的认识水平。方法对36例结核性多浆膜腔积液的临床资料进行回顾性分析。结果 45岁中青年为主(83.3%),结核性多浆膜腔积液合并肺结核及其它肺外结核较多(52.8%)。临床症状以发热最为常见(86.1%),其次是胸痛,胸闷、气促,腹胀、腹痛。以腹腔积液合并胸腔积液较多见(55.6%),其次是胸腔积液合并心包积液(25%)。结论对于有发热、胸闷、气促、腹胀、腹痛的中青年患者应进行胸、腹腔及心包腔B超检查。

Clinical analysis of 36 cases with tuberculous multiple serositis

Objective To explore the clinical characteristics of tuberculous multiple serositis（TMS）,and to improve the diagnostic and theraeutic level.Methods Retrospective analysis of 36 cases of TMS with reviewing of clinical data. Results Middle-aged and young patients under 45years old were most commonly seen （83.3%）. The total cases of tuberculous multiple serositis were complicated with tuberculosis and other extrapulmonary tuberculosis were common （52.8%）. Fever were the most frequent clinical symptoms （81.6%）, then chest pain and stuffiness, short - winded, abdominal distension and abdominal pain. Abdominal effusion were complicated with pleural effusion were common （55.6%）, then pleural effusion were complicated with pericardial effusion （25%）. Conclusion To those febrile accompanied with oppressed feeling and abdominal distension middle-age and young patients, the physicians should pay attention to the investigation of chest film and B ultrasonogram, so as to rule out the TMS.