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1986年1月至1990年12月我院收治恶性胸腔积液92例,因原发性肺癌所致69例。69例中45例X 线胸片肺内病灶均被胸水掩盖,病初误诊率达71.1%。我们体会到如遇下列情况之一应高度疑为恶性胸液:1.年龄在50岁以上,呈血性或出现转移性血性胸液;2.不能用胸液解释的刺激性咳嗽,或/和持久而固定的胸痛且不随胸液量的增多而减轻,或/和间歇性咯血性痰;3.无结核中毒症状,OT 试验阴性,抗结核治疗超过一月而胸液不减少,或胸液增长速度快,或治
January 1986 to December 1990, 92 cases of malignant pleural effusion admitted to our hospital, 69 cases due to primary lung cancer. Among the 69 cases, the lung lesions in 45 cases of X-ray were covered by pleural effusion and the rate of misdiagnosis was 71.1%. We experience the case of one of the following cases should be highly suspected malignant pleural effusion: 1. Over the age of 50, was bloody or metastatic bloody pleural effusion; 2. can not be explained with irritable cough, or Persistent and fixed chest pain and does not decrease with increasing pleural fluid volume, or / and intermittent hemoptysis sputum; 3. No symptoms of tuberculosis, OT test negative, anti-TB treatment more than a month without reduction of pleural fluid, or pleural fluid Rapid growth, or governance