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渗出性肋膜炎의 臨床的觀察

CLINICAL OBSERVATIONS ON PLEURISY WITH EFFUSION

최신의학 1966년 9권 4호 p.41 ~ 47
이승현,
소속 상세정보
이승현 (  ) - 경북대학교 의과대학 내과학교실

Abstract


A clinical study was made on 166 cases of pleurisy with effusion seen at the Kyungpook University Hospital from .January 1960 to February 1965, and the pertinent data were reviewed. Tuberculosis accounted for 53.0 per cent of the cases and in 9.0 per cent the cause of pleurisy was undetermined. Except for tuberculosis, the principal etiologic factors in order of frequency were malignancy, pneumonia, lung abscess, pulmonary paragonimiasis and amebic liver abscess.The mean age of patients with malignant pleural effusion was 48, while non-malignant effusion, it was below 40 regardless of the nature of underlying disease.Right-sided pleural effusion was more common than left-sided in all kinds of pleurisy, except in pneumonic pleurisy in which no particular predilection was noted.Serous pleural effusion accounted for 51.7 per cent of the cases, purulent 25.2 per cent and serosanguineous 23.1 per cent; 32.4 per cent of the cases with serosanguineous pleural effusion was tuberculous and 38.2 per cent was malignant in origin. In tuberculous pleurisy diagnosis was proved only in about 20 per cent of the cases by either needle biopsy of the pleura or bacteriological examination of the pleural fluid. In malignant pleurisy cancer cells were positive in the pleural fluid in about 47 per cent of cases examined, but histological diagnosis was made in about 70 per cent by needle biopsy of the pleura.

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