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胸膜腔积液由于恶性肿瘤轉移所致者,临床上并不少见,診断有时頗困难。本文就我校附属第一医院1954年5月至1959年10月及附属第二医院1957年2月至1963年10月所收治之40例恶性胸膜腔积液者,加以分析,供临床参考。 診断依据:一、有明确原发肿瘤(肺、食道癌等)并在胸膜腔积液內找到癌細胞或胸部X线检查有異常阴影或淋巴結活检証实者24例;二、未找到原发肿瘤部位,但在胸膜腔积液內找到癌细胞或胸膜活检或淋巴結活检証实,而无原发胸膜肿瘤(間皮瘤)之病理变化者16例。
Pleural effusions due to the metastasis of malignant tumors are not uncommon clinically and diagnosis is sometimes difficult. In this article, 40 cases of malignant pleural effusions admitted to the First Affiliated Hospital of our school from May 1954 to October 1959 and Second Affiliated Hospital from February 1957 to October 1963 were analyzed for clinical reference. Diagnosis basis: First, there are clear primary tumors (lung, esophageal cancer, etc.) and found in the pleural effusion cancer cells or chest X-ray abnormal shadow or lymph node biopsy confirmed in 24 cases; Second, did not find the primary Tumor site, but in the pleural effusion found cancer cells or pleural biopsy or lymph node biopsy confirmed, but no primary pleural tumor (mesothelioma) pathological changes in 16 cases.