老年癌性胸腔积液的临床特点分析

目的探讨老年癌性胸腔积液的临床特点.方法通过275例住院老年(60岁以上)癌性胸腔积液患者的回顾性分析.结果1.癌性胸水患者的临床症状,如咳嗽,咯血,气急,消瘦等方面明显高于结核性胸水患者.两者有显著性差异(P＜0.05).2.癌性胸水酶学检查ADA含量明显较低,两者有显著性差异(P＜0.05).3.CT检查癌性胸水患者胸膜多呈环状胸膜增厚,胸膜上有多发性结节存在,94%并存胸内病灶或淋巴结肿大.结论癌性胸水生长快,出现临床症状早而明显;胸水酶学ADA及CT检查可作为胸水性质的鉴别指标.

Clinical characteristics of elderly cancerous effusion

Objective To explore the clinical characteristics of elderly cancerous thoracic effusion.Methods 275 elderly patients (over 60 years old) with cancerous effusion were retrospectively analyzed.Results 1.There was a significant difference of symptoms,such as cough,hemoptysis,dyspnea and leanness,between the patients with cancerous effusion and the patients with tuberculotic effusion (P<0.05).2.Enzymologic test showed a lower level of ADA in patients with cancerous effusion than in patients with tuberculotic effusion with significant difference (P<0.05).3.CT showed annular pleural thickening and multiple nodules in patients with cancerous effusion,94% of whom co-existed with intra-thoracic loci and lympadenectasis.Conclusion Cancerous effusion grows very fast with early and obvious symptom.Enzymologic test of ADA and CT examination are of great value in differential diagnosis.