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[肿瘤性病因引起的胸腔积液]

[Pleural effusions of neoplastic etiology].

作者信息

Zlatanov Z, Peneva M, Kokoshian M

出版信息

Vutr Boles. 1982;21(2):129-33.

PMID:7101882
Abstract

A prospective analysis was made of 50 patients with neoplastic pleural exudation for the period 1977-1979. Twenty five of the patients (50%) are with advanced age (60-75). Bronchogenic carcinoma is the most often primary localization of the neoplastic exudates --26 patients (52%), followed by mammary carcinoma--10 cases (20%). In 76 per cent of the patients the pleural exudation is the first clinical manifestation of the neoplastic disease. In the rest of the cases, the metastatic exudation was manifested by the third year after the diagnosis of primary tumor. Dyspnea is outlined as a leading clinical symptom. The data from the biochemical and cytological studies of the pleural punctate were analyzed. The cytological finding is with the highest diagnostic value for the neoplastic pleural exudates.

摘要

对1977年至1979年期间的50例肿瘤性胸腔积液患者进行了前瞻性分析。其中25例患者(50%)为高龄(60 - 75岁)。支气管源性癌是肿瘤性胸腔积液最常见的原发部位——26例患者(52%),其次是乳腺癌——10例(20%)。76%的患者中,胸腔积液是肿瘤性疾病的首发临床表现。在其余病例中,转移性胸腔积液在原发性肿瘤诊断后的第三年出现。呼吸困难是主要的临床症状。对胸腔穿刺液的生化和细胞学研究数据进行了分析。细胞学检查结果对肿瘤性胸腔积液具有最高的诊断价值。

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