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非特异性胸膜炎的定义和诊断 被引量:5

The definition and diagnosis of nonspecific pleuritis
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摘要 本文介绍非特异性胸膜炎(NSP)的定义和诊断。NSP一般指病因未明的渗出性胸腔积液,胸膜活检无结核及恶性疾病等特异性发现,仅有胸膜炎症的非特异性组织学改变。大部分胸膜活检诊断为NSP的患者可在随访中找到病因,包括肺及胸膜炎症或良性疾病、结核、恶性胸膜间皮瘤等。明确NSP的定义及诊断方法、探寻其具体病因有利于对患者及时进行诊断和干预,有积极的临床指导意义。 This article describes the definition and diagnosis of nonspecific pleuritis (NSP).NSP is generally applied to the patients with pleural effusion of which the cause is uncertain,and the histological finding in pleural biopsies is pleural inflammation (pleuritis/fibrosis),but there are not specific findings such as tuberculous or malignant disease.Certain causes of the majority of NSP patients can be subsequently found,including benign disease or inflammation,tuberculosis,mesothelioma and so on.The correct definition and diagnostic methods of NSP contribute to timely diagnosis and treatment towards these patients for clinical guidance.
出处 《中华诊断学电子杂志》 2014年第3期175-178,共4页 Chinese Journal of Diagnostics(Electronic Edition)
基金 广州市科技计划项目(2014J4100040) 广东省自然科学基金(S20110100036642)
关键词 非特异性胸膜炎 胸腔积液 诊断 Nonspecific pleuritis Pleural effusion Diagnosis
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参考文献23

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二级参考文献51

  • 1杨志寅.现代医学科学发展中的缺憾与思考[J].中华诊断学电子杂志,2013,1(1). 被引量:100
  • 2刘力红.科学的发展需要人文精神——致《中医药通报》编辑部的一封信[J].中医药通报,2006,5(4):36-36. 被引量:4
  • 3WrightsonJM,DaviesHE.Outcomeofpatientswithnonspecificpleuritisatthoracoscopy[J].CurrOpinPulmMed,2011,17(4):242-246.
  • 4VenekampLN,VelkeniersB,NoppenM.Does'idiopathicpleuritis'exist- Naturalhistoryofnon-specificpleuritisdiagnosedafterthoracoscopy[J].Respiration,2005,72(1):74-78.
  • 5LeslieWK,KinasewitzGT.Clinicalcharacteristicsofthepatientwithnonspecificpleuritis[J].Chest,1988,94(3):603-608.
  • 6DepewZS,VermaA,WigleD,etal.Nonspecificpleuritis:optimaldurationoffollow-up[J].AnnThoracSurg,2014,97(6):1867-1871.
  • 7BrimsFJH,DaviesHE,LeeYC G.Respiratorychestpain:diagnosisandtreatment[J].MedClinNorthAm,2010,94(2):217-232.
  • 8MaskellNA,GleesonFV,DaviesRJ.StandardpleuralbiopsyversusCT-guidedcutting-needlebiopsyfordiagnosisofmalignantdiseaseinpleuraleffusions:arandomisedcontrolledtrial[J].Lancet,2003,361(9366):1326-1330.
  • 9RenshawAA,DeanBR,AntmanKH,etal.Theroleofcytologicevaluation of pleural fluid in the diagnosis of malignantmesothelioma[J].Chest,1997,111(1):106-109.
  • 10SakurabaM,MasudaK,HebisawaA,etal.Pleuraleffusionadenosinedeaminase(ADA)levelandocculttuberculouspleurisy[J].AnnThoracCardiovascSurg,2009,15(5):294-296.

共引文献103

同被引文献58

  • 1杨志寅.现代医学科学发展中的缺憾与思考[J].中华诊断学电子杂志,2013,1(1). 被引量:100
  • 2高兴林,陈正贤,郭纪全,李静.内科胸腔镜在胸膜间皮瘤诊断和治疗中的应用[J].中国内镜杂志,2005,11(1):30-32. 被引量:31
  • 3WrightsonJM,DaviesHE.Outcomeofpatientswithnonspecificpleuritisatthoracoscopy[J].CurrOpinPulmMed,2011,17(4):242-246.
  • 4VenekampLN,VelkeniersB,NoppenM.Does'idiopathicpleuritis'exist- Naturalhistoryofnon-specificpleuritisdiagnosedafterthoracoscopy[J].Respiration,2005,72(1):74-78.
  • 5LeslieWK,KinasewitzGT.Clinicalcharacteristicsofthepatientwithnonspecificpleuritis[J].Chest,1988,94(3):603-608.
  • 6DepewZS,VermaA,WigleD,etal.Nonspecificpleuritis:optimaldurationoffollow-up[J].AnnThoracSurg,2014,97(6):1867-1871.
  • 7BrimsFJH,DaviesHE,LeeYC G.Respiratorychestpain:diagnosisandtreatment[J].MedClinNorthAm,2010,94(2):217-232.
  • 8MaskellNA,GleesonFV,DaviesRJ.StandardpleuralbiopsyversusCT-guidedcutting-needlebiopsyfordiagnosisofmalignantdiseaseinpleuraleffusions:arandomisedcontrolledtrial[J].Lancet,2003,361(9366):1326-1330.
  • 9RenshawAA,DeanBR,AntmanKH,etal.Theroleofcytologicevaluation of pleural fluid in the diagnosis of malignantmesothelioma[J].Chest,1997,111(1):106-109.
  • 10SakurabaM,MasudaK,HebisawaA,etal.Pleuraleffusionadenosinedeaminase(ADA)levelandocculttuberculouspleurisy[J].AnnThoracCardiovascSurg,2009,15(5):294-296.

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