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报告10例胸水9种不同疾病的误诊分析。其中误诊为结核性胸膜炎5例,化脓性胸膜炎2例,肺癌合并胸水、血清病性胸水及反应性胸膜炎各1例。误诊原因主要为满足于对临床表现、常规检查及暂时治疗效果的一般认识,偏信或忽略病史,未作进一步检查等。并结合文献就嗜酸细胞增多性胸膜炎、良恶性胸水鉴别,结缔组织病和变应性疾病的胸膜病变等进行了讨论。
Misdiagnosis Analysis of 9 Different Diseases of Pleural Effusion in 10 Cases. Misdiagnosed as tuberculous pleurisy in 5 cases, suppurative pleurisy in 2 cases, lung cancer with pleural effusion, serum pleural effusion and reactive pleurisy in 1 case. The main reasons for misdiagnosis are to satisfy the general understanding of clinical manifestations, routine examination and temporary treatment effect, partial belief or neglect of medical history, without further examination. And the literature on eosinophilic pleurisy, differential diagnosis of benign and malignant pleural effusion, connective tissue disease and allergic diseases such as pleural disease were discussed.