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胸腔积液是内科常见病,其病因虽多,但仍以结核及肿瘤最为多见。近几年来,本科对胸腔积液病人,采用胸膜针刺活检术,获得了组织学资料,为胸腔积液病因学的鉴别诊断,提供了有力的证据。临床资料一、一般资料:70例住院病人,均经x线胸片及超声波检查确诊为胸腔积液,其中男43例,女27例,年龄16～75岁;37例积液在右侧。每次胸膜活检同时收集胸水行有关生化检查,根据胸水化验结果,39例怀疑为结核性胸膜炎,31例疑为恶性胸膜炎。二、穿刺方法:本科均采用上海产改良cope钝端钩针进行活检,通常取胸膜组织3
Pleural effusion is a common medical disease, although its etiology, but still the most common tuberculosis and cancer. In recent years, undergraduate pleural effusion patients, the use of pleural needle biopsy obtained histological data for the differential diagnosis of pleural effusion etiology, provides strong evidence. Clinical data First, the general information: 70 cases of inpatients were diagnosed by pleural effusion x-ray and ultrasound, including 43 males and 27 females, aged 16 to 75 years; 37 cases of effusion on the right side. Pleural biopsy at the same time collecting pleural effusion related to biochemical tests, according to the results of pleural effusion, 39 cases of suspected tuberculous pleurisy, 31 cases of suspected malignant pleurisy. Second, the puncture method: Shanghai undergraduate cohere are used to improve cope blunt crochet biopsy, usually take pleural tissue 3