93 cases clinical analysis of tuberculous pleurisy.docVIP

 PAGE \* MERGEFORMAT 6 93 cases clinical analysis of tuberculous pleurisy Tuberculous pleurisy is a common disease, its incidence is rising in recent years, according to reports could account for 3.7% over the same period of hospitalization of tuberculosis to 9.0% [1], while the diagnosis of tuberculous pleurisy and differential diagnosis is sometimes difficult, To further improve diagnostic accuracy, so that the correct clinical treatment, we confirmed by pathology, 93 patients underwent the following clinical analysis. 1 Subjects and methods Past five years, our hospital 178 cases of clinically diagnosed as tuberculous pleurisy patients with pathologically confirmed in 93 cases, 53 cases were male, female 40 cases, men and women of 1.3:1, age 16 to 75 years, mean 44.4 years, duration of 15 to 60 days, an average of 26.5 days. 2 Results 2.1 Clinical features of 93 cases, the temperature is normal in 39 cases, lower than 38 ℃ 28 例 ,38-39 ℃ 19 cases, more than 39 ℃ 7 cases, 86 cases of cough, sputum in 23 cases, hemoptysis in 1 case, weakness, night sweats 33 cases, 40 cases of chest pain, chest tightness, shortness of breath 78 cases. 2.2 ESR, PPD, peripheral blood, chest X-ray detection, erythrocyte sedimentation rate in 26 cases, slightly elevated in 42 cases, moderately elevated in 18 cases, severe increase in seven cases, PPD negative in 22 cases, positive 46 cases, moderate positive in 17 cases, strongly positive 0 cases, peripheral blood white blood cell count normal 61 cases, 10 ~ 20.0 × 109 / L 29 cases, more than 20.0 × 109/L3 cases, X-ray showed a small amount of fluid in 8 cases, the amount of fluid 67 cases, a lot of fluid in 18 cases. 2.3 Appearance clear routine examination of pleural effusion in 48 cases, opacity 45, yellow 71 cases, bloody in 22 cases, of which more than 50 years of age in 15 cases, pleural fluid cell count less than 0.1 × 109 / L 1 例, 0.1 ~ 0.2 × 109 / L 4 example, 0.2 ~ 0.5 × 109 / L