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对肺癌引起的癌性胸膜炎45例与结核性胸膜炎16例的临床特征、放射线检查和胸水化验所见以及试验抗癌治疗的效果进行了比较。这两种疾患的表现虽较相似,但仍各有其特点,尤以下述几点对两者的鉴别有较大的帮助;1.年龄;癌性发病年龄较高,平均52.1岁,结核性年龄较轻,平均为33.2岁。2.胸水;癌性多为血性,且含有较多的中性粒细胞,多数患者的胸水能找到恶性细胞。3.结核菌素试验;癌性多阴性,结核多为阳性。4.试验抗痨治疗;对癌性无效。如不及时抗癌治疗,多在6个月内死亡。而结核性经抗痨后多在1个月内明显好转。
The clinical features of lung cancer-induced cancer pleurisy in 45 patients and tuberculous pleurisy in 16 patients were compared, as were radiation and pleural effusion assays, and the effect of anticancer therapy. Although the performance of these two diseases is similar, they still have their own characteristics, especially the following points are of great help to the identification of the two; 1. Age; Cancer age is older, average 52.1 years old, tuberculosis Younger, with an average age of 33.2. 2. Pleural fluids; Cancerous mostly bloody, and contains more neutrophils, most patients with pleural effusion can find malignant cells. 3. Tuberculin test; more negative cancer, more positive tuberculosis. 4. Test antispasmodic treatment; ineffective for cancer. If it is not timely anticancer treatment, it will die within 6 months. Tuberculosis was significantly improved within 1 month after the battle.