80岁以上老年男性患者103例胸腔积液临床分析

摘要

Objective To investigate the etiologies, diagnostic methods and therapy of over 80-year old male patients with pleural effusion. Methods The clinical data of 103 elderly male patients with pleural effusion were retrospectively investigated. Results The e-tiology of 103 cases were as follows: pneumonia or pulmonary infection (35 cases ), cancer ( 29 cases ), heart failure ( 10 cases ), cirrhosis of liver and chronic renal insufficiency ( 6 cases ), tuberculosis (4 cases ), pulmonary infection combined congestive heart failure ( 17 cases ), and acatalepsy ( 2 cases ). Conclusion The major causes of elderly male patients with pleural effusion are pulmonary infection, lung cancer and heart failure.%目的 探讨80岁以上老年男性患者胸腔积液的病因、诊断、鉴别诊断及治疗特点.方法 对我科收治的资料完整的103例胸腔积液患者的临床资料进行分析.结果 103例患者中良性胸腔积液72例,其中主要因肺部感染引起的胸腔积液35例,由心功能衰竭引起的胸腔积液10例,肺部感染合并心衰或肾功能不全等原因导致的胸腔积液17例,肝硬化、慢性肾功能不全引起的胸腔积液6例,结核性胸腔积液4例;恶性胸腔积液的29例中,原发病为肺癌22例,其他肿瘤7例;此外,不能明确诊断者2例.结论 在老年男性患者中,肺部感染、肺部肿瘤、心功能不全是导致胸腔积液的主要原因.