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本文对147例胸腔积液的资料进行了分析,并对诊断与治疗进行了讨论.在病因诊断中,一般胸水化验,不少病例可明确诊断.对边缘性胸水应作细胞学、组织学检查对一些原因不明病例,根据临床分析及进一步检查如胸水的病原学,细胞学及组织学大多可确立诊断.在治疗中,结核性胸水用抗结核药物加肾上皮质激素治疗及胸穿抽液,可提高疗效,缩短病程,促进胸水消退.化脓性,在抗菌药物应用下加闭锁引流,疗效较好.但在本组中,可能因例数较少,这些差异经统计学处理,均无显著性.
In this paper, the data of 147 cases of pleural effusion were analyzed, and the diagnosis and treatment were discussed in the diagnosis of etiology, the general test of pleural effusion, many cases can be a clear diagnosis of marginal pleural effusion should be cytology, histological examination For some unexplained cases, based on clinical analysis and further examination, such as pleural effusion etiology, cytology and histology most of the diagnosis can be established in the treatment of tuberculous pleural effusion with anti-tuberculosis drugs plus corticosteroids and chest fluid , Can improve the curative effect, shorten the course of disease, promote pleural effusion.Pulmonary purulent, plus anti-bacterial drugs under the closure of drainage, the effect is better.But in this group, the possible fewer cases, these differences were statistically analyzed, no Significance.