Pleural Effusions胸膜渗出 中山大学 内科学.pptVIP

肺腺癌 患者男性，65岁。 因“反复胸痛5月，呼吸困难1月，加重1周” 入院。胸水CEA增高。 镜下见：脏、壁层胸膜间粘连带形成，壁层胸膜、膈面见弥漫性结节样新生物，部分表面覆盖白色坏死组织，右上叶后段斜裂缘见白色息肉样肿物，右下叶表面多发灰色斑状浸润。病理示腺癌。 Pleural fluid markers for tuberculosis If tuberculous pleuritis is not treated, the effusion will resolve but pulmonary or extrapulmonary tuberculosis subsequently develops in more than 50%. Since less than 40% of patients with tuberculous pleuritis have positive pleural fluid cultures, alternative means such as the level of adenosine deaminase (ADA), gamma interferon or polymerase chain reaction (PCR) are used to establish the diagnosis. The pleural fluid AD