[结核性胸膜炎中的残余胸膜增厚。相关因素]

[Residual pleural thickening in tuberculous pleuritis. Associated factors]].

作者信息

Ruiz E, Alegre J, Alemán C, Vizcaya S, Armadans L, Segura R M, Andreu J, Iglesias D, Fernández de Sevilla T

机构信息

Servicio de Medicina Interna, Hospital General Universitario Vall d'Hebron, Barcelona.

出版信息

Arch Bronconeumol. 2000 Oct;36(9):506-9. doi: 10.1016/s0300-2896(15)30111-3.

DOI:10.1016/s0300-2896(15)30111-3

PMID:11116546

Abstract

BACKGROUND

To study the factors related to the development of residual pleural thickening in pleural tuberculosis.

PATIENTS AND METHODS

We studied 39 patients with tuberculous pleural effusion. A chest X-ray was taken of each patient at the end of treatment. The patients' medical histories, pleural fluid findings and diagnostic chest films were evaluated. Residual pleural thickening was defined as thickening that was visibly greater than 2 mm in the lower side portion of the chest film.

RESULTS

Residual pleural thickening developed in 26% of patients and was found mainly in men (RR = 3.86). In no patients with Löwenstein-Jensen cultures positive for Mycobacterium tuberculosis did pleural complications develop.

CONCLUSION

Residual pleural thickening is a common complication of tuberculous pleural effusion. Residual pleural thickening in tuberculous pleurisy occurs more often in men and older patients, and in cases in which pleural liquid culture is negative for M. tuberculosis.

摘要