CAJ | 학술논문

目的：分析成人胸腔积液病因。方法在我院2010~2012年间收治的明确诊断为胸腔积液的患者中随机选取296例，分析患者临床诊治资料，了解成人胸腔积液形成病因。结果胸腔积液主要病因是结核和肿瘤（P＜0.05），此两种病因患者占比72.3%，其次肺炎、脓胸等病因占比较大，分别为10.81%、4.05%，肝硬化23例（占比7.77%），结缔组织疾病19例（其中类风湿关节炎11例，系统性红斑狼疮8例，占比6.42%），白血病7例（占比2.37%），细菌性4例（占比1.35%）。恶性胸腔积液的积液LDH、间皮细胞含量、胸水CEA、血清CEA水平均明显高于良性胸腔积液患者检查结果（P＜0.05）。结论胸腔积液主要病因是结核和肿瘤，此外还应重视对肺炎、脓胸的判别，可结合积液LDH等各项指标加强临床诊断准确性。
목적：분석성인흉강적액병인。방법재아원2010~2012년간수치적명학진단위흉강적액적환자중수궤선취296례，분석환자림상진치자료，료해성인흉강적액형성병인。결과흉강적액주요병인시결핵화종류（P＜0.05），차량충병인환자점비72.3%，기차폐염、농흉등병인점비교대，분별위10.81%、4.05%，간경화23례（점비7.77%），결체조직질병19례（기중류풍습관절염11례，계통성홍반랑창8례，점비6.42%），백혈병7례（점비2.37%），세균성4례（점비1.35%）。악성흉강적액적적액LDH、간피세포함량、흉수CEA、혈청CEA수평균명현고우량성흉강적액환자검사결과（P＜0.05）。결론흉강적액주요병인시결핵화종류，차외환응중시대폐염、농흉적판별，가결합적액LDH등각항지표가강림상진단준학성。
Objective:to analyze the adult pleural ef usion. Methods:in our hospital during 2010-2012 were diagnosed as pleural ef usion patients randomly selected 296 cases of patients with clinical data, analysis, understanding the formation of pleural ef usion etiology of adult. Results:pleural ef usion is a major cause of tuberculosis and tumor (P< 0.05), the two kinds of diseases were accounted for more than 72.3%, the second cause of pneumonia, empyema, larger proportion, respectively 10.81%, 4.05%, 23 cases of cirrhosis of liver (7.77%), 19 patients with connective tissue diseases (including 11 cases of rheumatoid arthritis, system lupus erythematosus in 8 cases, accounting for 6.42%), 7 cases of leukemia (accounted for 2.37%), 4 cases of bacterial (accounted for 1.35%). Malignant pleural ef usion fluid LDH, mesothelial cells in pleural ef usion, CEA, serum CEA levels were significantly higher than those in benign pleural ef usion examination results (P< 0.05). Conclusion: pleural ef usion is a major cause of tuberculosis and tumor, also should pay at ention to the discrimination of the pneumonia, empyema, can be combined with the indicators to strengthen the diagnostic accuracy of LDH.