Lamy P, Canet B, Martinet Y, Lamaze R
Poumon Coeur. 1980;36(2):83-94.
From 200 observations, the authors study the results of laboratory examinations and paraclinical testings of the pleura. Neoplastic etiologies represent a 1/3 of all pleurisies. In 20% of cases a definite etiological diagnosis could not be obtained in spite of exploring thoracotomies. The limit of 30 g/l of proteins for the differentiation of mechanical transsudates and inflammatory exsudates was inaccurate. Cytodiagnosis was efficient in 75% of mesotheliomas but the percentage fell to 53 in secondary cancers. For needle biopsy results were respectively of 66% and 57%. Thoracotomy (24 cases) enabled a diagnosis in half the cases where it was performed. Thorascopy seems to bring similar results.
通过200例观察，作者研究了胸膜的实验室检查和临床旁检查结果。肿瘤病因占所有胸膜炎的三分之一。尽管进行了开胸探查，但仍有20%的病例无法获得明确的病因诊断。以30g/l蛋白质作为区分机械性漏出液和炎症渗出液的界限并不准确。细胞诊断对75%的间皮瘤有效，但在继发性癌症中这一比例降至53%。针吸活检的诊断率分别为66%和57%。开胸手术（24例）在实施手术的病例中有一半得以确诊。胸腔镜检查似乎能带来类似的结果。
