中国呼吸与危重监护杂志

中国呼吸与危重监护杂志

胸腔积液病因分析

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目的 探讨胸腔积液的病因。 方法 选择 2011 年 1 月至 2013 年 12 月期间在北京朝阳医院住院诊断胸腔积液的所有患者,对这些患者的胸腔积液病因进行回顾性分析。 结果 3 年期间,共有 1 541 例患者最终被纳入研究。最常见的胸腔积液病因为细菌感染(38.7%),其次为恶性肿瘤(23.7%)、心功能不全(13.1%)和结核(10.7%)。另有 120 例患者病因未明(7.8%)。 结论 最常见的胸腔积液病因为细菌感染,其次分别为恶性肿瘤、心功能不全和结核。上述四类病因的患者比例占到总数的 85% 以上。

Objective To investigate the etiology of pleural effusions. Methods All adult patients with pleural effusions of unknown etiology admitted to this hospital between January 2011 and December 2013 were investigated. The etiological data of these patients with pleural effusion were retrospectively reviewed. Results During the 3-year period, 1 541 patients eventually were included in this study. The most frequent cause of pleural effusions was bacterial infection (38.7%), followed by malignancy (23.7%), congestive heart failure (13.1%), and tuberculosis (10.7%). The etiology of 120 patients (7.8%) remained uncertain. Conclusions The most frequent cause of pleural effusion is bacterial infection, followed by malignancy, cardiac failure, and tuberculosis. These four etiologies account for over 85 percent of all pleural effusions.

关键词: 胸腔积液; 肺炎; 恶性肿瘤; 结核

Key words: Pleural effusion; Pneumonia; Malignancy; Tuberculosis

引用本文: 伍燕兵, 杜莹, 逯勇, 王晓娟, 徐莉莉. 胸腔积液病因分析. 中国呼吸与危重监护杂志, 2017, 16(5): 490-494. doi: 10.7507/1671-6205.201610032 复制

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