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我院1971年4月至1984年5月共收治结核性(下称TB性)和瘤性胸腔积液病人42例,试就二者的鉴别作如下探讨。临床资料与分析 42例中TB性34例,占同期TB性胸膜炎34/52,男21例,女13例,年龄2～80岁,<30岁21例;癌性8例(肺癌3例,腺癌、食道癌、胃癌、肝癌、精原细胞癌转移各1例),占同期癌性脚膜炎8/21、男2例,女6例,年龄29～67岁,>40岁6/8。42例均经X线险查证实。35例作了穿刺,胸水中找到TB杆菌3例、癌细胞1例.痰TB杆菌1例。癌比3例作了活检确诊。体温>38℃
From April 1971 to May 1984 in our hospital, 42 patients with tuberculosis (hereinafter referred to as TB) and tumor pleural effusions were treated. The identification of the two was discussed as follows. Clinical data and analysis of 42 cases of TB in 34 cases, accounting for 34/52 of TB pleurisy in the same period, 21 males and 13 females, aged 2 to 80 years, 21 cases < 30 years of age; 8 cases of cancer (3 cases of lung cancer, Adenocarcinoma, Esophageal cancer, Gastric cancer, Liver cancer, and 1 case of metastatic carcinoma of the primordial carcinoma), accounting for 8/21 of cancerous foot inflammation in the same period, 2 males, 6 females, aged 29 to 67 years, >40 years old 6/ 8. 42 cases were confirmed by X-ray examination. Thirty-five patients underwent puncture. 3 cases of TB bacilli and 1 case of cancer cells were found in the pleural effusion. One case of sputum TB was found. More than 3 cases of cancer were biopsy confirmed. Body temperature >38°C