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背景:西班牙Alicante社区教学医院目的:评价我们医院内结核性胸膜炎(TP)的特点及原发和续发之间的差异。设计:1984年1月到1993年12月间所有人类免疫缺陷病毒(HIV)阴性的TP病人包含在本研究中,自1987年9月后病人为前瞻性研究。评定病人的资料、X线影像、胸液情况和诊断方法,根据胸部X线影像分为两组,伴有上肺叶病灶,淋巴结钙化和陈旧性胸膜增厚的病人考虑为续发型。结果:129名病人中(平均年龄,31±18岁)76％为原发TP,24%为续发TP,差异表现为年龄(28±17与40±18岁,P<0.01),吸烟(43％与74％,P<0.01)和过度饮酒(23％与47％,P<0.01),体重减轻(29％与50％,P<0.05),痰涂片和培养阳性(2％与16％,7％与28％,P<0.01),以及大量渗出(46％与26%,P<0.05),但在结核菌素反应,胸液情况、胸膜培养阳性或胸膜肉芽肿的存在方面无差异。结论:在我们的资料中,TP以青年人为主,临床、免疫和胸膜发现对传统症状的TP病人是类似的,较大的年龄、吸烟和过度饮酒、较少的渗出液和痰结果是续发型的鉴别特点。
Background: Alicante Community Teaching Hospital, Spain Purpose: To evaluate the characteristics of primary tuberculosis (TP) in our hospital and the differences between primary and secondary. Design: All human immunodeficiency virus (HIV) -negative TP patients from January 1984 to December 1993 were included in this study and patients were prospectively studied since September 1987. The patient’s data, X-ray images, pleural fluid conditions and diagnostic methods were evaluated and classified into two groups based on chest X-ray images. Patients with upper lobe lesions, calcified lymph nodes, and old pleural thickening were considered as a recurrence. RESULTS: Among 129 patients (mean age, 31 ± 18 years), 76% were primary TP and 24% were secondary TP. The differences were age (28 ± 17 vs. 40 ± 18 years, P <0.01), smoking (23% vs 47%, P <0.01), weight loss (29% vs 50%, P <0.05), sputum smear and culture positive (2% vs 16% %, 7% vs 28%, P <0.01), and extensive exudation (46% vs 26%, P <0.05) but were not significantly associated with tuberculin reaction, pleural fluid, pleural culture positive, or presence of pleural granuloma No difference. CONCLUSION: In our data, TP is predominantly young and clinical, immunologic and pleural findings are similar for patients with traditional symptoms of TP, with older age, smoking and excessive alcohol consumption, less exudate and sputum results Continued hairstyle identification features.