| 147例恶性胸腔积液的临床分析 |
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| 引用本文： | 刘升明,汤泰秦,罗继平. 147例恶性胸腔积液的临床分析[J]. 暨南大学学报(自然科学与医学版), 1998, 0(2) |
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| 作者姓名： | 刘升明 汤泰秦 罗继平 |
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| 作者单位： | 暨南大学医学院第一附属医院内科 |
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| 摘 要： | 总结了１４７例经胸液细胞学确诊的恶性胸腔积液的临床资料。结果：原发肿瘤以肺癌、胃肠道肿瘤和乳癌为多，分别占５０３％、１３６％和９５％；胸液癌细胞中腺癌、鳞癌分别为７１４％和７５％；第一次胸液病理阳性率为６３９％，连续三次送检病理阳性率可达９３２％；胸液乳酸脱氢酶、癌胚抗原和胸液／血清乳酸脱氢酶比值、胸液／血清癌胚抗原比值阳性率较低，临床应用价值有限。
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| 关 键 词： | 恶性胸腔积液；乳酸脱氢酶；癌胚抗原 |
Clinical Analysis of 147 Cases of Malignant Pleural Effusions |
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| Liu Shengming Tang Taiqin Luo Jiping. Clinical Analysis of 147 Cases of Malignant Pleural Effusions[J]. Journal of Jinan University(Natural Science & Medicine Edition), 1998, 0(2) |
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| Authors: | Liu Shengming Tang Taiqin Luo Jiping |
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| Abstract: | One hundred and forty-seven cases of malignant pleural effusions(MPE) diagnosed by cytologic examination of pleural fluid are reported. MPE are commonly caused by original carcinoma such as lung cancer(50 3%), carcinoma of digestive system (13 6%) and breast cancer(9 5%). The main malignant cell types of pleural fluid are glandular carcinoma cell (71 4%) and squamous carcinoma cell (7 5%). In the first exfoliative cytologic examination 63 9% showed positive pleural fluid. It increased to 93 2% in three times examination . It was found that the limited value of determing lactate dehydrogenase(LDH), carcinoembryonic antigen(CEA) in pleural fluid and the ratios of pleural fluid to serum LDH and that to CEA for MPE diagnosis. |
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| Keywords: | malignant pleural effusions lactate dehydrogenase carcinoembryonic antigen |
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