摘要
目的 进一步了解结核性胸膜炎的临床特点及其与肺结核的关系。方法 对 345例结核性胸膜炎病人的临床特征进行回顾性分析。结果 ①年龄分布 ,<35岁占 5 1.6 % ,≥ 5 5岁占2 3.2 % ,平均 38.1岁。②发热、咳嗽、胸痛的发生率分别为 73.6 %、5 7.7%和 5 1.9%。③单侧胸水占93.0 % ,双侧胸水占 7.0 % ,左、右侧发生率分别为 4 7.8%及 4 5 .2 %。④中、小量胸水共占 94 .5 % ,大量胸水仅占 5 .5 %。⑤胸膜炎同时合并肺结核占 4 7.8%。⑥胸水呈草黄色占 89.6 % ,呈血性占10 .4 %。⑦胸水结核菌检出率为 3.2 %。⑧PPD试验阳性反应者占 83.3%。⑨红细胞沉降率 (ESR)增快者占 6 4.9% ,均值为 4 6 .9mm/ 1h。结论 结核性胸膜炎仍是目前的常见疾病之一 ,多见于青少年 ,与肺结核关系密切 。
Objective To further investigate the clinical character of tuberculous pleurisy (TP) and the relationship between tuberculous pleurisy and pulmonary tuberculosis.Methods The clinical status of 345 patients with tuberculous pleurisy were retrospectively analyzed.Results ①The age distribution in 345 patients was 51.6% for patients below 35,23.2% over 55. The average age of the overall patients was 38.1. ②Occurrence rate for fever, cough, chest pain was 73.6%, 57.7% and 51.9% respectively. ③Occurence rate for unilateral pleural effusion, bilateral pleural effusion, left and right lateral pleural effusion was 93.0%, 7.0%, 47.8% and 45.2% respectively. ④Moderate and mild pleural effusion was 94.5%, severe pleural effusion was only 5.5%. ⑤The patients with pleurisy occupied 16% for the overall. The patients of tuberculous pleurisy complicated with pulmonary tuberculosis were 47.8%. ⑥The patients with yellow pleural effusion was 89.6%. With bleeding pleural effusion was 10.4%. ⑦The positive rate of M.tuberculosis was 3.2% and 16.8% in pleural effusion and sputum. ⑧The positive rate in PPD reaction was 83.3%. ⑨The increasing ESR was 64.9%, and its mean value was 46.9mm/1h. Conclusion The tuberculous pleurisy was more often occurred in young people. It has close relationship with pulmonary tuberculosis. It is necessary to consider its clinical character in diagnosis.
出处
《中国防痨杂志》
CAS
北大核心
2002年第5期261-263,共3页
Chinese Journal of Antituberculosis
