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1.胸腔积液的临床特点:肺炎后脓胸均表现中毒症状;结核性脓胸起病慢,体温多在37.5℃以下,症状不明显;恶性肿瘤胸水形成快,量较多。2.X线及超声波检查;肺炎后脓胸,超声波诊断准确率93.3％,X线诊断率82.3％。检查包裹性胸液超声波优于X线。3.胸水检查:恶性肿瘤的胸液多为血性;脓性积液为黄绿色或黄白色;心脏疾患的胸液为淡黄色;乳糜性为乳白色混浊液;外伤全为血样液。胸水的pH值,除乳糜胸外均为酸
1. The clinical features of pleural effusion: Empyema pneumonia after pneumonia are manifested poisoning symptoms; tuberculosis empyema onset is slow, the body temperature more than 37.5 ℃, the symptoms are not obvious; malignant pleural effusion formation, the amount of more. 2.X ray and ultrasound examination; empyema after pneumonia, ultrasound diagnostic accuracy rate of 93.3%, X-ray diagnosis rate of 82.3%. Check the encapsulated pleural fluid ultrasound is better than the X-ray. 3. Pleural fluid examination: malignant pleural effusion mostly; purulent effusion is yellowish green or yellowish white; heart disease pleural effusion is light yellow; chylous sex is milky white turbid liquid; trauma all blood samples. Pleural effusion pH, except chylothorax are acid