|
论老年结核性胸膜炎临床及胸腔镜下表现分析 |
| |
【摘要】 目的 总结老年结核性胸膜炎临床特点和胸腔镜下表现特征,提高胸腔镜检查对老年结核性胸膜炎诊断价值的认识。 方法 回顾性分析41例通过内科可弯曲胸腔镜检查和组织活检确诊的老年结核性胸膜炎临床资料和胸腔镜下表现特征。 结果 老年结核性胸膜炎临床表现不典型，以咳嗽(75.6%)和胸闷、气促(87.8%)出现比例最高，并存病多(85.4%)，误诊率高(68.3%)。镜下表现小点状结节41.5%，单发、多发结节26.8%，胸膜充血、水肿19.5%，胸膜肥厚、粘连12.2%，病变部位分布于后胸壁壁层胸膜46.3%，前胸壁壁层胸膜12.2%，侧胸壁壁层胸膜7.3%，膈胸膜7.3%，弥漫型19.5%，脏层胸膜 7.3%，无1例发生严重并发症。 结论 老年结核性胸膜炎临床表现缺乏特异性，应尽早行内科胸腔镜检查明确诊断。
http:// /
【关键词】 胸膜炎; 结核; 老年人; 胸腔镜
Analysis on clinical features and manifestations under thoracoscopy in elderly patients with tubercular pleurisy LUO Guoshi, DU Chunling, LIU Yuquan, LIU Xianjun,XIONG Chang, WEI Na,TU Mingli. Deparment of Respiratory Disease, Taihe Hospital Affiliated to Yunyang Medical College, Shiyan 442000, China
【Abstract】 Objective To summarize the clinical features and manifestations under thoracoscopy of 41 elderly patients with tubercular pleurisy, and to discuss the importance of medical thoracoscopy for the diagnosis of tubercular pleurisy in the elderly. Methods The clinical features and manifestations under thoracoscopy of 41 patients with tubercular pleurisy in the elderly diagnosed by flexible electronassisted thoracoscopy and biopsy were retrospectively analyzed. Results The clinical presentations of tubercular pleurisy were atypical in the elderly. Cough(75.6%) and chest tightness and [1] [2] [3] [4] [5] 下一页
上一个医学论文： 浅议老年原发性高血压患者晨峰现象与靶器官损害
下一个医学论文： 浅论系统心理干预对老年脑卒中后抑郁程度及神经功能康复的影响
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 内科论文 >> 正文