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[胸膜穿刺活检——小儿浆液纤维蛋白性结核性胸膜炎的一种诊断方法]

[Pleural puncture biopsy--a diagnostic method in serofibrinous tuberculous pleurisy in children].

作者信息

Murgoci G, Galbenu P

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1989 Jan-Mar;38(1):39-47.

PMID:2554468
Abstract

The biopsy of the parietal biopsy with the help of a needle has become an essential method of diagnosis in the adult patients with a pleural malady of an unknown etiology and may become a complementary paraclinical method in children. A sure diagnosis in the tubercular serofibrinous pleurisy with children is made by rendering evident the Koch bacillus on the direct test or in culture and by rendering evident the tubercular lesions on fragments of pleural biopsy puncture. The study is supported on the results obtained at the pleural biopsy puncture performed on a number of 6 children. In four cases out of six the histological test of the pleural fragment has rendered evident the presence of tubercular lymphoepithelioid nodulus with central necrosis, thus carrying the argument of certitude. The pleural biopsy puncture allows an early and sure diagnosis in over two-thirds of the pleurisies of a tubercular etiology.

摘要

借助穿刺针进行壁层活检已成为成年病因不明胸膜疾病患者必不可少的诊断方法,在儿童中可能成为一种辅助临床检查方法。对儿童结核性浆液纤维素性胸膜炎做出明确诊断,是通过在直接检测或培养中发现结核杆菌以及在胸膜活检穿刺碎片中发现结核病变来实现的。本研究基于对6名儿童进行胸膜活检穿刺所获得的结果。6例中有4例胸膜碎片的组织学检测显示存在伴有中央坏死的结核性淋巴上皮样小结,从而提供了确诊依据。胸膜活检穿刺能对超过三分之二的结核性病因胸膜炎做出早期明确诊断。

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