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目的探讨胸腔积液的临床诊治措施。方法回顾分析120例患者的临床资料。结果结核患者经四联抗痨治疗、抽胸液结合激素治疗,95%患者1个月后症状缓解、胸液明显吸收;恶性患者经放化疗治疗,辅以胸膜腔内注射丝裂霉素、顺铂、博莱霉素、高聚金葡素等药物,40%患者胸液量减少。其他心功能不全、肝硬化、肾病综合征等致胸腔积液者经抗心衰、纠正低蛋白血症等对因治疗后,胸液可基本完全吸收。结论胸腔积液的病因复杂,病因及鉴别诊断仍要依靠临床、影像学、胸水生化及免疫学、细胞学或组织活检等手段,综合分析判断。
Objective To investigate the clinical diagnosis and treatment of pleural effusion. Methods The clinical data of 120 patients were retrospectively analyzed. Results Tuberculosis patients treated with quadruple anti-tuberculosis, combined with chest pumping fluid and hormone therapy, 95% of patients 1 month after the symptoms were relieved, pleural fluid was significantly absorbed; malignant patients after radiotherapy and chemotherapy, combined with intrapleural injection of mitomycin, Cisplatin, bleomycin, polygalacturons and other drugs, 40% of patients with reduced pleural fluid. Other cardiac insufficiency, cirrhosis, nephrotic syndrome caused by pleural effusion, such as anti-heart failure, hypoproteinemia, etc. due to treatment, the pleural effusion can be basically completely absorbed. Conclusions The etiology of pleural effusion is complicated. Etiology and differential diagnosis still rely on clinical, imaging, biochemical and pleural effusion biochemistry and immunology, cytology or biopsy and other means, a comprehensive analysis to determine.