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目的了解可弯曲电子内科胸腔镜在不明原因胸腔积液诊断中的应用价值。方法自2005年7月至2007年3月,应用可弯曲电子内科胸腔镜对我院呼吸科病房中60例不明原因的胸腔积液患者进行胸腔镜检查,其中男36例,女24例。对所有通过胸腔积液常规、生化、微生物学及细胞学等实验室检杏或通过诊断性抗结核治疗仍不能明确其积液原因的患者进行内科胸腔镜检查。结果经检查,60例不明原因的胸腔积液患者中恶性肿瘤32例(53%),结核16例(27%),阴性结果或慢性炎症5例(8%),肺炎合并胸膜炎4例(7%),粘连严重未能看到胸壁者3例(5%)。恶性肿瘤中肺腺癌最常见。术后并发症中伤口疼痛最常见,对症治疗可缓解。未出现肺水肿、感染、拔管延迟等并发症。结论可弯曲电子内科胸腔镜是一项简单、安全、有效的检查方法。在临床上,可帮助我们进一步明确胸腔积液的病因,特别是对于不明原因的胸腔积液。
Objective To understand the value of flexible electronic medical thoracoscope in the diagnosis of unexplained pleural effusion. Methods From July 2005 to March 2007, 60 cases of unexplained pleural effusion in our hospital respiratory department ward underwent thoracoscopic examination with flexible electronic medical thoracoscopy, including 36 males and 24 females. A medical thoracoscopy was performed on all patients who had pleural effusion routine, biochemical, microbiological, and cytological laboratory apricots or who did not know the cause of the effusion due to diagnostic antituberculosis treatment. Results Of the 60 patients with pleural effusion, 32 (53%) had malignant tumors, 16 (27%) had tuberculosis, 5 (8%) had negative or chronic inflammation, and 4 had pneumonia complicated with pleurisy %), Severe adhesions failed to see the chest wall in 3 cases (5%). Malignant lung adenocarcinoma is the most common. Postoperative complications in the most common wound pain, symptomatic treatment can be alleviated. No pulmonary edema, infection, extubation delay and other complications. Conclusion Flexible electronic medical thoracoscopy is a simple, safe and effective method of examination. Clinically, it can help us to further clarify the etiology of pleural effusion, especially for unexplained pleural effusion.