Ngoh H L
Chest Clinic, Penang General Hospital, Jalan Residensi.
Med J Malaysia. 1991 Dec;46(4):301-8.
In a retrospective study of 100 patients with pleural effusion the final diagnosis was tuberculosis in 49, malignancy in 43, malignancy with tuberculosis, bacterial infection, hydrothorax with cirrhosis, reaction to pneumothorax in one each, and unknown in 4. Most of the effusions analysed were exudates (94%). Pleural biopsy was diagnostic in 46% of tuberculous effusions (13/28) and 67% of malignant effusions (20/30). Tuberculosis accounted for 87% of cases in patients aged 40 years and under. In this age group, patients with exudative pleural effusion and a positive tuberculin test are likely to have tuberculosis and early therapeutic trial is justified.
在一项对100例胸腔积液患者的回顾性研究中，最终诊断为结核病的有49例，恶性肿瘤的有43例，恶性肿瘤合并结核病、细菌感染、肝硬化性胸水、气胸反应各1例，原因不明的有4例。分析的大多数胸腔积液为渗出液（94%）。胸膜活检对46%的结核性胸腔积液（13/28）和67%的恶性胸腔积液（20/30）具有诊断价值。40岁及以下患者中，结核病占病例的87%。在这个年龄组中，有渗出性胸腔积液且结核菌素试验呈阳性的患者很可能患有结核病，早期进行治疗性试验是合理的。
