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[1]许德兵,潘士勇,史兆荣,等.肺癌合并胸腔积液172例临床分析[J].医学研究与战创伤救治(原医学研究生学报),2008,10(02):107.
　XU De-bing,PAN Shi-yong,SHI Zhao-rong,et al.Clinical analysis of 172 cases of malignant pleural effusion with lung cancer[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2008,10(02):107.
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肺癌合并胸腔积液172例临床分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第10卷
期数:
2008年02期
页码:
107
栏目:
出版日期:
2008-03-20

文章信息/Info

Title:
Clinical analysis of 172 cases of malignant pleural effusion with lung cancer
文章编号:
1672-271X(2008)02-0107-03
作者:
许德兵1; 潘士勇1; 史兆荣1; 舒荣文1; 宋 勇2
南京军区南京总医院，1.干部保健科；2.呼吸科，江苏南京 210002
Author(s):
XU De-bing1; PAN Shi-yong1; SHI Zhao-rong1; SHU Rong-wen1; SONG Yong2
1.Department of Ranking Health Protection,2.Department of Respiratory Disease,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China
关键词:
肺癌; 胸腔积液; 诊断
Keywords:
Lung cancer; Malignant pleural effusion; Diagnosis
分类号:
R734.2
DOI:
-
文献标志码:
A
摘要:
目的 分析肺癌合并胸腔积液的特点，以提高其诊断率。方法 对172例肺癌合并胸腔积液的住院患者的临床资料进行回顾性分析。结果 ①腺癌89例(51.7%),鳞癌46例(26.7%)，小细胞癌25例(14.5%)，其他病理类型12例(7.0%);②172例肺癌合并胸腔积液45岁以上(含45岁) 79.6%(137/172);③大量胸腔积液78例(45.3)%，中量54例(31.4)%，少量40例(23.3)%;④右侧胸腔积液102例(59.3%)，左侧51例(29.7%)，双侧19例(11.0%);⑤渗出液164例(95.3%)，漏出液8例(4.7%);血性积液139例(80.8%)，非血性积液33例(19.2%);在胸腔积液中找到癌细胞125例(72.7%)。结论 对胸腔积液患者进行全面检查，分析肺癌致胸腔积液的特点，可提高肺癌的诊断率，缩短确诊时间。
Abstract:
Objective To investigate the characteristics of malignant pleural effusion with lung cancer,and to raise diagnosis rate of malignant pleural effusion with lung cancer.Methods To analyze retrospectivey clinical data of 172 cases of lung cancer complicated with malignant pleural effusion who had been diagnosed explicitly by the pathology in our hospital in the last 5 years.Results ①Cases of adenocarcinoma were 89(51.7%) cases，46 cases of spuamous carcinoma(26.7%)，25 cases of small cell carcinoma(14.5%).12 cases of the other pathologic types(7.0%). ②172 cases of the lung cancer complicated with malign ant pleural effusion who over 45 years of age(include 45 years old) were 79.6%(137/172).③ Cases of a great deal of pleural effusion were 78 cases，54 cases of medium quantity of pleural effusion,40 cases of a little amount of pleural effusion. ④Cases of pleural effusion in the right chest were 102(59.3%)，51 cases of the left chest(29.7%)，both chest's were 19 cases(11.0%).⑤Cases of exudative hydrops were 164(95.3%)，8 cases of transdatory dropsy(4.7%).Cases of blood effusion were 139(80.8%)，33 cases of non-blood effusion(19.2%).Among them found out carcinoma cell from the pleural effusion were 125 cases(72.7%).Conclusion It's must to examine completely for the patients with malignant pleural effusion，and analyze the characteristics of malignant pleural effusion resulted in lung cancer, which can raise the diagnosis rate of lung cancer.The time of diagnosis can be shorten.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-11-22