胸腔积液321例临床分析

摘要

Objective: To investigate the etiologys and diagnosis of pleural effusion. Method: Clinical datas of 321 cases pleural effusion were analysed retrospectively. Result: Medical records through a comprehensive analysis of the patients, the etiology of 321 cases was as follows: tuberculosis ( 51.4％ ), cancer (25. 55％ ) ,heart failure(5.6％ ) ,cirrhosis of the liver( 1.87％ ) ,other cases(4.36％ ). Conclusion: The major etiology of pleural effusion is tuberculosis and cancer, It's important to treat the pleural effusion according to the causes early.%目的:探讨胸腔积液的病因和临床诊断.方法:回顾性分析我院收治的321例胸腔积液患者的临床资料.结果:通过综合分析患者病历资料,321例胸腔积液患者的病因依次为:结核性胸腔积液165例(占51.40%),恶性胸腔积液118例(占25.55%),心功能衰竭引起的胸腔积液18例(占5.6%),肝硬化引起的胸腔积液6例(占1.87%),其它原因引起的14例(占4.36%).结论:结核与肿瘤是引起胸腔积液的主要病因,因此在临床工作中应尽快明确胸腔积液的病因并进行针对性的治疗.