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内科胸腔镜对不明原因胸腔积液的诊断价值及安全性分析

杨艳兵 沈洁 周敬奎 胡海英 李耀军

国际医药卫生导报2017,Vol.23Issue(22):3506-3508,3.
国际医药卫生导报2017,Vol.23Issue(22):3506-3508,3.DOI:10.3760/cma.j.issn.1007-1245.2017.22.009

内科胸腔镜对不明原因胸腔积液的诊断价值及安全性分析

The analysis of diagnostic value and safety of medical thoracoscopy in unexplained pleural effusion

杨艳兵 1沈洁 1周敬奎 1胡海英 1李耀军1

作者信息

  • 1. 462000 漯河市中心医院呼吸与危重医学科
  • 折叠

摘要

Abstract

Objective To analyze the application value and safety of medical thoracoscopy in the diagnosis of unexplained pleural effusion.Method The clinical data of 26 patients with unexplained pleural effusion who underwent medical thoracoscopy was analyzed retrospectively.Results Among the 26 cases,there were 16 patients diagnosed as malignant tumor metastases (13 cases diagnosed as adenocarcinoma,3 cases diagnosed as small cell carcinoma),and 10 patients diagnosed as tuberculous pleuritis.Malignant pleural effusion performancedas nodular changes mainly,what's more,some lesions fused into mass.Tuberculous effusion mainly performancedas uniform pleural congestion and edema,small nodular or fiber adhesion.The common adverse reactions were pain and local bleeding,there were no serious complications.Conclusion Medical thoracoscopy has high sensitivity and diagnosis rate in the diagnosis of unexplained pleural effusion,relatively safe,with high security.

关键词

内科胸腔镜/不明原因胸腔积液/诊断/安全性

Key words

Medical thoracoscopy/Unexplained pleural effusion/Diagnosis/Safety

引用本文复制引用

杨艳兵,沈洁,周敬奎,胡海英,李耀军..内科胸腔镜对不明原因胸腔积液的诊断价值及安全性分析[J].国际医药卫生导报,2017,23(22):3506-3508,3.

国际医药卫生导报

1007-1245

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