Matzel W
Z Gesamte Inn Med. 1979 Mar 15;34(6):suppl 50-2.
Diffuse and circular focal processes are radiologically recognized as possibly pleurally conditioned by the position near to the chest wall. A clarification is possible by means of the diagnostic pneumothorax, the pleuroscopy and the exploratory excision under vision. Callous processes may be of inflammatory and malignant genesis. Transthoracic punctures, punch biopsies and surgical exploration may become necessary for the clarification. The effusion is the most frequent symptom of pleural diseases. The differentiation of transudate and exudate is diagnostically as essential as a functional interpretation of the cell sediments of above all inflammatory effusions. Not all malignant processes are cyto-morphologically to be recognized as such. By means of the determination of the protein coagulation after Weltmann, simultaneously performed in the blood serum and in the effusion into the pleura, we, therefore, try to find additional informations. The colorimetric measuring of the contents of hyaluronic acid of pleura exudates serves the identification of diffuse mesotheliomas.
弥漫性和圆形局灶性病变在放射学上被认为可能因靠近胸壁的位置而与胸膜有关。通过诊断性气胸、胸腔镜检查和直视下的探查性切除可以明确诊断。硬结性病变可能起源于炎症和恶性肿瘤。为了明确诊断，可能需要进行经胸穿刺、打孔活检和手术探查。胸腔积液是胸膜疾病最常见的症状。漏出液和渗出液的鉴别在诊断上至关重要，对所有炎症性胸腔积液的细胞沉淀物进行功能解释也同样重要。并非所有恶性病变在细胞形态学上都能被识别出来。因此，我们通过同时测定血清和胸腔积液中的韦尔特曼蛋白凝固情况，试图获取更多信息。胸膜渗出液中透明质酸含量的比色测量有助于弥漫性间皮瘤的鉴别诊断。
