98例肺癌患者伴嗜酸细胞增多性胸腔积液探讨  

Exploration of the significance of acidophilic pleural effusion in 98 lung cancer patients

作　　者：韩冬 齐翠荣 张恒嘉 

机构地区：[1]辽宁省抚顺市中心医院细胞室,抚顺113006

出　　处：《中国体视学与图像分析》2014年第4期398-402,共5页Chinese Journal of Stereology and Image Analysis

摘　　要：目的探讨肺癌伴嗜酸性粒细胞增多性胸腔积液(EPE)的特点,以期为临床决策提供一定参考。方法以胸腔积液中嗜酸性粒细胞是否增多为标准,对312例经纤维支气管镜、痰液脱落细胞学、肺CT确诊肺癌患者进行分组。结果肺癌伴嗜酸性粒细胞增多与不伴嗜酸性粒细胞增多性胸腔积液的淋巴细胞数、Rivalta试验、乳酸脱氢酶(LDH)、癌胚抗原(CEA)均有差异(P<0.05)。结论胸腔积液中嗜酸性细胞增多不要忽视恶性肿瘤的可能。Objective To investigate the characteristics of lung cancer patients with eosinophilic pteural effusion （EPE） in order to provide some reference for clinical decision-making. Methods According to the number of eosinophils in pleural effusion, 312 lung cancer patients with pleural effusion, who were di- agnosed by fiber bronchoscopy, sputum cytology, and lung CT scanning, were divided into two groups： the group with non-eosinophilic pleural effusion （214 cases） and group with eosinophilic effusion （98 ca- ses）. Results There were statistically significant differences in the number of lymphocytes, results of Riviha test, lactate dehydrogenase （LDH）, and carcinoembryonic antigen （CEA） between the patients with eosinophilic or non-eosinophilic pleural effusion （P 〈 0.05）. Conclusion We should not ignore the possibility of malignant tumors if increased number of eosinophils is observed in the pleural effusion.

关 键 词：肺癌 胸腔积液 嗜酸性细胞增多 

分 类 号：R734.2[医药卫生—肿瘤]