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作者对1973～74年的133例胸腔积液病历加以分析;其中108例获得明确诊断,包括:癌44例,淋巴瘤20例,充血性心衰18例,感染7例(细菌性5,结核和真菌性各1),低蛋白血症6例,结缔组织疾病5例,肝硬化1例,其他7例(其中肺栓塞3例),男25例(19％)经完整的检查后仍不能确定病因。133例共进行164次诊断性穿刺,136次曾作细胞学检查,结果20例(15％)癌细胞阳性,其中支气管肺癌阳性率26％(5/19),转移性肺癌52％(13/25),淋巴瘤10％(2/20)。 105例病人的积液蛋白测定结果:35例(33％)蛋白含量<3克/100毫升,76例(67％)>3克/100毫升。<3克/100毫升者包括充血性心衰16例(46％),病因不明7例(20％),低蛋白血症6例,恶性肿瘤3
The authors analyzed 133 cases of pleural effusion from 1973 to 1974, of which 108 were diagnosed correctly, including 44 cancers, 20 lymphoma, 18 congestive heart failure, 7 infections (5 bacterial, 1 tuberculosis And fungality 1), hypoalbuminemia in 6, connective tissue disease in 5, cirrhosis in 1, and the other 7 (of which 3 were pulmonary embolism) and 25 (19%) men after a complete examination. Determine the cause. Totally 164 cases of diagnostic puncture in 133 cases and 136 cases of cytology were performed in 20 cases (15%). The positive rate of bronchial carcinoma was 26% (5/19) and that of metastatic lung cancer was 52% (13 / 25), lymphoma 10% (2/20). The effusion protein assay results of 105 patients were 35 (33%) with protein content <3 g / 100 ml and 76 (67%)> 3 g / 100 ml. <3 g / 100 ml, including congestive heart failure in 16 cases (46%), etiology in 7 cases (20%), hypoproteinemia in 6 cases, malignant tumors 3