肺部疾病所致单侧胸腔积液临床特点分析  

Clinical Characteristics of Unilateral Pleural Effusion Caused by Pulmonary Disease

作　　者：张庭秀 胡绳 马李杰 肖贞良 Zhang Tingxiu;Hu Shen;Ma Lijie;Xiao Zhenliang(Department of Respiratory Diseases,the General Hospital of Western Theater Command,Chengdu,Sichuan Province,610083,P.R.China)

机构地区：[1]中国人民解放军西部战区总医院呼吸内科,四川成都610083

出　　处：《西南军医》2021年第2期101-104,共4页Journal of Military Surgeon in Southwest China

基　　金：国家自然科学基金青年项目(项目编号:81800088);四川省卫生和计划生育委员会科研课题(项目编号:18PJ020)

摘　　要：目的探讨肺部疾病所致单侧胸腔积液的临床特点。方法收集西部战区总医院2016年12月至2018年12月收治的572例诊断明确的单侧胸腔积液患者临床资料,根据临床资料及病理结果分为良性胸腔积液组与恶性胸腔积液组,良性胸腔积液组根据病因进一步分为结核组、脓胸组及普通肺炎组,回顾性分析各组患者胸腔积液相关资料。结果良性胸腔积液组282例,恶性胸腔积液组290例,良性胸腔积液组平均年龄低于恶性组(P=0.000);脓胸组平均年龄高于结核组及普通肺炎组(P=0.003);良性胸腔积液组总蛋白含量显著高于恶性胸腔积液组(P=0.000),而感染所致胸腔积液组中,脓胸组胸腔积液总蛋白含量最低(P=0.028)。良性胸腔积液组黏蛋白定性试验阴性率高于恶性胸腔积液组(P=0.000);此外,恶性胸腔积液组及结核组中胸腔积液均好发于右侧(P<0.05),而脓胸组及普通肺炎组胸腔积液部位差异无统计学意义(P>0.05)。结论老年患者单侧胸腔积液病因以恶性肿瘤为主,而青年患者则以结核性为主;良性胸腔积液的黏蛋白定性试验阴性率和蛋白含量较恶性胸腔积液高;单侧胸腔积液更易发于右侧。Objective To investigate the clinical characteristics of unilateral pleural effusion caused by pulmonary disease.Methods A retrospective study was conducted on the clinical data of 572 cases with unilateral pleural effusion caused during the period from January,2016 to December,2018;based on clinical and pathological data,cases were divided into 2 groups:benign pleural effusion group and malignant pleural effusion group;benign pleural effusion group was further divided,based on different etiology,into 3 subgroups:tuberculosis group,lung abscess group and ordinary pneumonia group;the clinical data of the cases that related to pleural effusion were retrospectively analyzed.Results There were 282 cases in benign pleural effusion group and 290 cases in malignant pleural effusion group;the average age of the cases in benign pleural effusion group was lower than that of the cases in malignant pleural effusion group(P=0.000);the average age of the cases in lung abscess group was higher than that in tuberculosis group and that in ordinary pneumonia group(P=0.003);the total protein content in benign pleural effusion group was significantly higher than that in malignant pleural effusion group(P=0.000);the total protein content of pleural effusion was the lowest in lung abscess group among the 3 subgroups of benign pleural effusion group(P=0.028);the negative rate of Rivalta test in pleural effusion was higher in benign pleural effusion group than that in malignant pleural effusion group(P=0.000);pleural effusion was more common to be found on the right side of chest in malignant pleural effusion group and in tuberculosis group(P<0.05)and there was no significant difference in the location of pleural effusion between lung abscess group and ordinary pneumonia group(P>0.05).Conclusions Unilateral pleural effusions in the elderly is mainly caused by malignant tumor while those in the young by tuberculosis;the negative rate of Rivalta test and total protein content are higher in benign pleural effusion than in malignant pleural

关 键 词：肺癌 结核 脓胸 肺炎 单侧胸腔积液 

分 类 号：R459[医药卫生—治疗学]