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目的探讨老年人包裹性胸腔积液的发生率、部位、病因及其鉴别诊断。方法回顾性分析老年包裹性胸腔积液患者的临床资料。结果老年人胸腔积液 2 10例中形成包裹性者 82例 (39.0 % ) ,其中发生于右侧 37例 (45 .1% ) ,左侧2 9例 (35 .4 % ) ,双侧 16例 (19.5 % ) ;癌性 4 8例 (5 8.5 % ) ,其中肺癌性 34例 ,转移癌 11例 ,胸膜间皮瘤 3例 ;结核性 13例 (15 .9% ) ;肺炎性 6例 ;化脓性 5例 ;心源性 5例 ;肝硬变性 3例 ;外伤性 1例 ;病因不明 1例。结论老年人包裹性胸腔积液病因复杂 ,鉴别诊断仍有赖于临床、影像学、胸液生化及免疫学、细胞学或组织活检等 ,并进行综合分析判断。
Objective To investigate the incidence, location, etiology and differential diagnosis of encapsulated pleural effusion in the elderly. Methods The clinical data of elderly patients with encapsulated pleural effusion were retrospectively analyzed. Results The pleural effusion in elderly patients formed 82 cases (39.0%) in 210 cases, of which 37 cases (45.1%) occurred on the right side, 29 cases (35.4%) left side and 16 sides (19.5%); 48 cases of cancer (8.5%), including 34 cases of lung cancer, 11 cases of metastatic cancer, 3 cases of pleural mesothelioma, 13 cases of tuberculosis (15.9%), 6 cases of pneumonia ; Purulent in 5 cases; cardiogenic in 5 cases; cirrhosis in 3 cases; traumatic in 1 case; etiology unknown in 1 case. Conclusions The etiology of elderly patients with encapsulated pleural effusion is complicated. The differential diagnosis still depends on clinical, radiological, biochemical and immunological tests of pleural effusion, cytology or biopsy, etc., and analyzed comprehensively.