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作者对渗出性胸膜炎各种通用的临床、实验室和放射学方法以及器械和免疫学方法进行评价。共诊察217例。第1组162例证实为结核性,第2组55例为非特异性。结核性胸膜炎在渗出液与支气管内容物中有结核杆菌者占13％,有肺组织与肺门特征性放射学改变者仅7.7％。经支气管镜确定病变者占12.1％,其中活动性9.7％(浸润型8.1％,溃疡合并支气管淋巴结瘘1.6％),非活动性2.4％(表现为疤痕)。结核性胸膜炎时检出非特异性支气管内膜炎比非特异性疾病时少见,分别为8.1％与25.8％(P<0.01)。胸膜穿刺活检91.8％的取材足够组织学检查,57.1％患者的结核病因得到证实。胸膜镜活检结核性胸膜炎
The authors evaluate various generic clinical, laboratory, and radiographic methods for exudative pleurisy as well as instrumentation and immunological methods. A total of 217 cases were examined. The first group of 162 confirmed tuberculosis, the second group of 55 non-specific. Tuberculous pleurisy in the exudate and bronchial contents of Mycobacterium tuberculosis accounted for 13%, lung tissue and hilar characteristic radiological changes were only 7.7%. Bronchoscopy confirmed lesions accounted for 12.1%, of which 9.7% activity (infiltration of 8.1%, ulcer with bronchial fistula 1.6%), inactivity of 2.4% (manifested as scars). Tuberculous pleurisy detected nonspecific bronchitis was more common than non-specific disease, 8.1% and 25.8% (P <0.01). Pleural biopsy 91.8% of the material taken enough histological examination, 57.1% of patients with tuberculosis was confirmed. Pleural biopsy tuberculous pleurisy