Clinical Analysis of 60 Cases Pleural Effusion

TAN De-lun

Abstract：Objective:To study and analyze the pathogenesis and clinical characteristics of pleural effusion systematically.Method:60 patients with pleural effusion and complete clinical data in respiratory department of our hospital from March 2010 to March 2013 were chosen and their clinical data were systematically reviewed. Pathogenesis and clinical characteristics of pleural effusion were summarized and analyzed.Result:Among 60 patients with pleural effusion,malignant pleural effusion was the most(22 cases,36.7%).Age distribution of malignant pleural effusion was 45-92 years old and the average age was 60 years old,age distribution of tuberculous pleural effusion was 21-65 years old and the average age was 40 years old.There were 45 cases(75.0%) of pleural effusion detected by chest X-ray at the first time.Among patients with malignant pleural effusion,there were 3 cases of positive blood tuberculosis antibody,2 cases of positive PPD.Hydrothorax and serum submission for CEA,LDH and hydrothorax exfoliative cytologic examination indicated that,on aspect of serum CEA level and LDH,malignant hydrothorax was obviously higher than the benign,there were significant differences existed between them(P<0.05).Conclusion:The main pathogenesis of pleural effusion are tumor,pneumonia-like diseases and tuberculosis.Early differentiation and diagnosis of pleural effusion and corresponding symtomatic treatment can radically improve clinical effect and prognosis.