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结核性胸膜炎是呼吸系统常见病,好发于中青年人,胸膜活检病理为其诊断的金标准,但因有一定风险及技术设备等要求尚未常规开展,目前临床上仍以胸腔积液腺苷脱氨酶(ADA)及细胞中淋巴细胞比例升高等来作为诊断主要依据。近期我科接诊1例24岁患者因左侧胸腔积液入院,入院后查胸腔积液ADA明显升高,最后通过病理活检确诊为恶性淋巴瘤,故ADA明显升高时需警惕恶性胸腔积液可能,现将该例患者临床资料结合相关文献
Tuberculous pleurisy is a common respiratory disease, occurs in young people, pleural biopsy for the diagnosis of the gold standard, but due to certain risks and technical equipment has not yet been carried out in the conventional requirements, the current clinical still pleural effusion adenosine Deaminase (ADA) and lymphocytes in the cell ratio increased as the main basis for the diagnosis. Recently our department admissions 1 case of 24-year-old patients admitted to the left pleural effusion after admission, check the pleural effusion ADA was significantly increased, and finally confirmed by pathological biopsy of malignant lymphoma, ADA was significantly higher when the need to guard against malignant pleural effusion Liquid may, now the case of patients with clinical data associated with the literature