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胸腔积液是一种常见病,以往通常经胸水检查来达到病因诊断。但常因没有明确的细胞学检查,使许多病不能确诊。自开展胸膜活检以来,使胸水病因的诊断率大大提高。现将我们做的71例胸膜活检结果报告如下,并探讨其对胸水病因诊断的意义。一、材料与方法 1.病例选择:71例中男52例,女19例。年龄20～79岁。胸膜活检对象为不明原因的胸水患者。 2.检查方法:我们采用第三军医大学西南医院沈寒放等改良的Abrams胸膜活检针,并参照他们的方法,进行胸膜活检。二、结果本文71例病人,行104次胸膜活检,取得胸膜99次,取材成功率为95.1％。临床诊断为结核性胸水21例;肺炎并胸水1例;心衰并胸水1例。恶性胸水48例。结核性胸水
Pleural effusion is a common disease, in the past usually through the pleural fluid examination to achieve etiological diagnosis. But often because there is no clear cytology, so many diseases can not be diagnosed. Since the pleural biopsy, the diagnosis of pleural effusion causes greatly increased. Now we do 71 cases of pleural biopsy results reported below, and explore its significance of pleural effusion diagnosis. First, materials and methods 1. Case selection: 71 cases of male 52 cases, 19 females. Age 20 ~ 79 years old. Pleural biopsy of unexplained pleural effusion patients. 2. Inspection methods: We use the Third Military Medical University, Southwest Hospital Shen Han release improved Abrams pleural biopsy needle, and with reference to their method of pleural biopsy. Second, the results of 71 cases of this patient, line 104 pleural biopsy, pleural 99 times, drawing success rate was 95.1%. Clinical diagnosis of tuberculous pleural effusion in 21 cases; pneumonia and pleural effusion in 1 case; heart failure and pleural effusion in 1 case. Malignant pleural effusion in 48 cases. Tuberculous pleural effusion