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癌肿和结核是渗出性胸水的常见原因,虽然胸水病因可通过胸膜活检、细胞学或细菌学检查确定,但临床上病因诊断仍是一个常见的难题,测定胸水中各种标记物则有助于鉴别诊断。经胸膜活检、细胞学或细菌学检查确诊癌性胸水36例,结核性胸水35例。癌性胸水患者中,男23例,女13例,年龄32～88岁,平均63.7±14.4岁。肿瘤类型:原发性肺癌30例(腺癌20例,鳞癌4例,小细胞癌3例,大细胞癌1例,未分类者2例),转移癌5
Cancer and tuberculosis are common causes of exudative pleural effusion. Although the cause of pleural effusion can be determined by pleural biopsy, cytology or bacteriological examination, the clinical diagnosis of etiology is still a common problem. The determination of various markers in pleural fluid To help differential diagnosis. The pleural biopsy, cytology or bacteriological examination confirmed 36 cases of cancerous pleural effusion, tuberculous pleural effusion in 35 cases. In patients with cancerous pleural effusion, 23 males and 13 females, aged 32 to 88 years, with an average of 63.7 ± 14.4 years old. Tumor types: 30 cases of primary lung cancer (adenocarcinoma in 20 cases, squamous cell carcinoma in 4 cases, small cell carcinoma in 3 cases, large cell carcinoma in 1 case, unclassified in 2 cases), metastatic carcinoma 5