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对胸睦积液的病因进行准确地早朋诊断是当前急待解决的问题。近年来中年人结核病与老年人的肿瘤都相应地增加,临床上以胸腔积液出现者,首先是原发性或续发性肿瘤如肺癌不少见,应予早期诊断。目前因抗痨治疗的进展,对不明原因病例采用抗痨治疗以达鉴别诊断之目的颇为不合理。实验室检查中胸腔积液的细菌学和细胞学检查,毫无疑问在诊断上是非常重要的,从H·ganze氏报告仅50％细胞学诊断阳性,且血性之积液可见於癌肿亦见於结核。在达肿瘤年龄之老年人其一股反应能力亦下降,更增加结核性与肿瘤性积液在临床区别上的困难。
Accurate early friend diagnosis of the cause of pleural effusion is an urgent problem to be solved. In recent years, the tumors of middle-aged people with tuberculosis and the elderly have increased accordingly. Clinically, the presence of pleural effusions, first of all, primary or recurrent tumors such as lung cancer is not uncommon, and should be diagnosed early. At present, due to the progress of anti-tuberculosis treatment, the use of anti-spasm treatment for unexplained cases for the purpose of differential diagnosis is rather unreasonable. Bacteriological and cytological examinations of pleural effusions in laboratory tests are undoubtedly very important in diagnosis. Only 50% of cytological diagnoses were positive from H. Ganze’s report, and bloody effusions were also seen in cancers. Seen in tuberculosis. At the age of reaching the age of the tumor, the response ability of the elderly is also reduced, and the difficulty of clinical differentiation between tuberculous and tumorous effusions is further increased.