结核性渗出性胸膜炎胸液中纤维蛋白原含量与胸膜粘连的关系  

Correlation between Fibrinogen in Pleural Effusion and Pleural Adhesion in Tuberculosis Pleurisy

作　　者：邢宝春[1] 张丽娟[1] 张国庆[1] 

机构地区：[1]新乡医学院第一附属医院暨河南省结核病医院结核内科,河南卫辉市453100

出　　处：《中国康复理论与实践》2006年第7期620-621,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨结核性渗出性胸膜炎胸腔积液中纤维蛋白原含量与胸膜粘连的关系。方法234例初治结核性渗出性胸膜炎患者按胸腔积液中纤维蛋白原含量从低到高分为A、B、C组,治疗过程中和治疗后评估胸膜粘连发生率。结果治疗过程中胸膜粘连发生率A组10.5%,B组32.3%,C组54.5%,C组高于A、B两组(均P<0.05)。治疗结束时胸膜粘连发生率A组10.5%,B组16.9%,C组42.4%,C组也高于A、B两组(均P<0.05)。结论结核性渗出性胸膜炎胸腔积液中纤维蛋白原含量可影响胸膜粘连发生率和患者的康复效果。Objective To investigate the eorelation between fibrinogen in pleural effusion and pleural adhesion in tuberculosis exudative pleurisy. Methods 234 cases of primary tuberculosis pleurisy were divided into 3 groups （A.B.C） according to their level of fibrinogen in pleural effusion from low to high. The incidence rates of pleural adhesion were assessed during the course of treatment and after treatment. Results The incidence rate of pleural adhesion in the course of treatment were as those： group A 10.5%, group B 32.3%, group C 54.5%. After treatment, it was as those： group A 10.5%, group B 16.9%, group C 42.4%. Whenever, there was significant difference between group C and group A or B （P〈0.05）. Conclusion The level of fibrinogen in pleural effusion may be associated with pleural adhesion, which hinder the recovery of patients.

关 键 词：纤维蛋白原 结核性胸膜炎 胸膜粘连 

分 类 号：R521.7[医药卫生—内科学]