论文部分内容阅读
癌肿和结核是渗出性胸膜炎最常见的原因。虽然胸水病因可通过胸膜活检,细胞学及细菌学检查确定,但临床病因学的诊断仍存在一定的困难,尤其老年患者肿瘤发生率较高。因此采用较简反而敏感的方法对胸水的性质进行鉴别是十分重要的。本文就42例癌性及结核性胸水进行了癌胚抗原(CEA)的测定,旨在探讨其在良恶性胸水鉴别诊断中的价值。 对象和方法 结核组:男14例,女8例,平均年龄36岁。 肺癌组:男14例,女6例,平均年龄53岁。
Cancer and tuberculosis are the most common causes of exudative pleurisy. Although the cause of pleural effusion can be determined by pleural biopsy, cytology and bacteriological examination, there are still some difficulties in the diagnosis of clinical etiology, especially in elderly patients. Therefore, it is very important to identify the nature of pleural effusion using a simple but sensitive method. In this paper, the carcinoembryonic antigen (CEA) was measured in 42 cases of cancerous and tuberculous pleural effusions in order to investigate its value in differential diagnosis of benign and malignant pleural effusions. Subjects and methods Tuberculosis group: 14 males and 8 females with an average age of 36 years. In the lung cancer group, there were 14 males and 6 females with an average age of 53 years.