Naschitz J E, Yeshurun D
Respiration. 1985;47(1):73-7. doi: 10.1159/000194751.
21 patients with protracted unilateral pleural effusion were studied with respect to the etiology of their pleurisy. 13 presented with unilateral chest wall edema (UCE). These were classified as group A patients. 8 group B patients suffered from unilateral pleural effusion without UCE. A malignant cause of the effusion was established in 8 out of the 13 patients in group A, and in 2 patients from group B. Empyema was present in 4 additional patients, all of them belonging to group A. The diagnosis of purulent pleural effusion could be made promptly by microscopic examination of the pleural fluid. If excluding the empyema patients, the presence of UCE was significantly associated (p less than 0.025) with a malignant etiology of the pleural effusion. It seems that careful examination of the chest wall skin texture can be a simple and useful method in the initial evaluation of patients with pleurisy.
对21例持续性单侧胸腔积液患者的胸膜炎病因进行了研究。13例出现单侧胸壁水肿（UCE）。这些患者被归类为A组。8例B组患者患有单侧胸腔积液但无UCE。A组13例患者中有8例积液病因确定为恶性，B组有2例。另有4例患者发生脓胸，均属于A组。通过对胸腔积液进行显微镜检查可迅速作出脓性胸腔积液的诊断。若排除脓胸患者，UCE的存在与胸腔积液的恶性病因显著相关（p<0.025）。似乎仔细检查胸壁皮肤纹理可作为胸膜炎患者初始评估中的一种简单且有用的方法。
