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我院1984年~1994年收治15例双侧结核性胸膜炎,根据临床特点,双侧结核性胸膜炎可分为三型:Ⅰ型(4例):双侧胸膜腔积液伴双肺肺结核;Ⅱ型(4例):双侧胸膜腔积液,但X线胸片上肺内未见结核病灶;Ⅲ型(7例):双侧胸膜腔积液伴其它部位浆膜腔积液,其胸水检查倾向于漏出液,或介于漏出液和渗出液之间,推测其胸水产生机制可能系渗出、漏出两种机制并存。最后对双侧结核性胸膜炎的临床意义进行简要讨论。
Our hospital from 1984 to 1994, 15 cases of bilateral tuberculous pleurisy admitted, according to clinical features, bilateral tuberculous pleurisy can be divided into three types: type Ⅰ (4 cases): bilateral pleural effusion with pulmonary tuberculosis Ⅱ (4 cases): bilateral pleural effusion, but there was no tuberculosis in the lung on the X-ray; type Ⅲ (7 cases): bilateral pleural effusion with other parts of the serous effusion, the pleural effusion Tend to leak liquid, or between the leakage of liquid and exudate, suggesting that the mechanism of pleural effusion may exudate, leakage of the two mechanisms co-exist. Finally, the clinical significance of bilateral tuberculous pleurisy is briefly discussed.