摘要
目的 探讨老年人胸腔积液的特点及病因诊断。方法 对我院2004年12月～2005年12月收治的62例老年胸腔积液患者进行回顾性分析。结果 恶性肿瘤37例（59．7％）；心功能不全9例（14．5％）；结核性胸膜炎8例（12．9％）；其余包括肺炎、矽肺、低蛋白血症等。结论 恶性肿瘤、心力衰竭、结核是引起老年胸腔积液的主要原因，其中恶性肿瘤是最常见原因。血性胸腔积液高度提示肿瘤，但应注意与结核的鉴别。
Objective To investigate the feature and etiological diagnosis of elderly patients with pleural effusion. Methotis We made a retrospective analysis of 62 elderly cases hospitalized for pleural effusion from Dec. 2004 to Dec. 2005. Results Malignancy was detected in 37cases（59.6%）, heart failure was in 9 cases（14.5%）, tuberculous pleuritis was in 8 cases （12.9%） and others was detected including pneumonia, grinder＇s disease, hypoproteinemia. Conclusions Malignant tumor, heart failure and tuberculosis are the main etiological factors for pleural effusion in elderly patients,especially malignant tumor,Hemorrhagic pleural effusion is a strongly indicative for malignant tumor,but tuberculosis should be differentiated.
出处
《解放军保健医学杂志》
2006年第3期161-163,共3页
Journal Of Health Care And Medicine in Chinese Pla
关键词
胸腔积液
肿瘤
pleural effusion
tumor
