可溶性指标对于胸腔积液鉴别诊断的价值-施焕中讲述.pptx

可溶性指标对于胸腔积液鉴别诊断的价值;Ann Intern Med 1972; 77: 507-513;Respiration DOI:10.1159/000435962;Cause;Chest 2015; 147: 1395-1400; 系统评价多种肿瘤标志物对于鉴别诊断恶性胸腔积液的临床价值，不能依靠单独或联合检测多种肿瘤标志物确诊恶性胸腔积液，但联合检测多种指标的敏感度高于其中的任一种。;Respir Med 2015; doi:10.1016/j.rmed.2015.06.008;Figure 1: Images taken from patients with tuberculous pleurisy using medical thoracoscope showing A) tuberculous nodules with irregular distribution on parietal pleura; B) tuberculous nodules on parietal (upper) and visceral (bottom) pleura; C) multiple military tuberculous nodules on parietal pleura; D) diffused parietal pleura nodules and pleural adhesions; E) parietal pleural hyperemia with necrosis of the pleural node; F) parietal pleural hyperemia with white pleural plaques.;Figure 2: Representative tuberculosis pathology seen in pleural biopsy specimen from two patients with tuberculous pleural effusion. A) epithelioid cell granulomas are seen on the parietal pleurat; B) a acid-fast bacillus (arrow) is seen within the granulomas; C) the view shows the presence of caseating necrosis in the parietal pleura with scattered multinucleated giant cells; D) a acid-fast bacillus (arrow) is seen within the caseating necrosis. Panels A and C, hematoxylin and eosin staining; original magnification: × 200. Panels B and D, Ziehl-Neelsen staining; original magnification: × 400. Panels A and B are taken from the same patient; Panels C and D are taken from another patient.; 系统评价IFN-γ和腺苷脱氨酶等对于诊断结核性胸膜炎的临床价值，显示IFN-γ和腺苷脱氨酶是诊断结核性胸膜炎的可靠指标，为临床应用这些诊断指标提供确切的循证医学依据。;Eur Respir J 2005; 25: 605–611;Chest 2007; 131: 1133-1141;PLoS ONE 2012; 7: e40450;PLoS ONE 2012; 7: e40450;Chin Med J 2013; 126: 3215-3221;中华医学杂志 2014; 94: 2641-2644;Respir Care 2014; 59: 399–405;PLoS ONE 2012; 7: e40450;Tuberculosis 2014; 94: 579-588;Tuberculosis 2014; 94: 579-588;Tuberculosis 2014; 94: 579-588;Tuberculosis 2014; 94: 579-588;Thank you for your attention