CAJ | 학술논문

目的：探讨小儿胸腔积液的病因和临床特征。方法回顾性分析117例胸腔积液患儿临床资料。结果117例胸腔积液患儿中感染性胸腔积液97例（82．9％），其中化脓性胸腔积液79例（67．5％），支原体感染9例（7．7％），病毒感染6例（5．1％），结核感染3例（2．6％）；非感染因素20例（17．1％），其中肾病综合征6例，肿瘤4例（肺癌1例，淋巴瘤1例，白血病1例，肾母细胞瘤并肺部转移瘤1例），川崎病3例，急性肾小球肾炎2例，工业醋精中毒2例，溶血尿毒综合征2例，嗜酸性细胞增多症1例。117例胸腔积液患儿中治愈83例，好转出院26例，未愈7例（其中恶性肿瘤4例，肾病综合征1例，自动出院2例），死亡1例。结论小儿胸腔积液的病因主要以感染为主，在临床诊疗过程中，应注意多种疾病可引起胸腔积液。
목적：탐토소인흉강적액적병인화림상특정。방법회고성분석117례흉강적액환인림상자료。결과117례흉강적액환인중감염성흉강적액97례（82．9％），기중화농성흉강적액79례（67．5％），지원체감염9례（7．7％），병독감염6례（5．1％），결핵감염3례（2．6％）；비감염인소20례（17．1％），기중신병종합정6례，종류4례（폐암1례，림파류1례，백혈병1례，신모세포류병폐부전이류1례），천기병3례，급성신소구신염2례，공업작정중독2례，용혈뇨독종합정2례，기산성세포증다증1례。117례흉강적액환인중치유83례，호전출원26례，미유7례（기중악성종류4례，신병종합정1례，자동출원2례），사망1례。결론소인흉강적액적병인주요이감염위주，재림상진료과정중，응주의다충질병가인기흉강적액。
Objective To study the etiology and clinical features of pleural effusion in Children .Methods The clinical data of 117 cases who diagnosed with pleural effusion in children were analyzed retrospectively .Results In the study ,infectious pleural ef-fusion that were 97 cases(82 .9% ) ,in which 79 cases caused by suppuration(67 .5% ) ,9 cases caused by mycoplasma(7 .7% ) ,6 ca-ses caused by virus (5 .1% ) ,3 cases caused by tuberculous-empyema (2 .6% ) .Non-infection cause included 20 cases (17 .1% ) ,in which 6 cases of nephrotic syndrome ,4 cases of malignant tumor(1 case of lung cancer ,1 case of lymphoma ,1 case of leukemia ,1 case of nephroblastoma and lung metastasis) ,4 cases of Kawasaki disease ,2 cases of acute glomerulonephritis ,2 cases of industrial vinegar concentrate poisoning ,2 cases of hemolytic uremic syndrome ,1 case of hypereosinophilic syndrome .There were 83 cases cured in 117 cases of pleural effusion ,26 cases left hospital with getting better ,7 cases of no cure(4 cases of malignant tumor ,1 case of nephrotic syndrome ,2 cases left hospital automaticly )and 1 case of death .Conclusion Infection is the main cause of pleural effu-sion in children ,it should be pay attention to pleural effusion in children caused by various diseases in the process of clinical diagno-sis and treatment .