結核
Online ISSN : 1884-2410
Print ISSN : 0022-9776
ISSN-L : 0022-9776
当科および関連施設で経験した結核性胸膜炎の臨床的検討
宮本 潤子古賀 宏延河野 茂松田 治子吉富 祐子宮崎 義継賀来 満夫宮崎 幸重渡辺 講一小江 俊行原 耕平
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1992 年 67 巻 7 号 p. 509-513

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Forty-eight cases of tuberculous pleurisy were examined and the following results wereobtained.
(1) Most of the patients were male, and there was no significant age and underlyingdiseases.
(2) Fever and chest pain were observed mainly in younger patients, and sputum anddyspnea in older patients.
(3) All of the cases examined had exudative pleural effusion, and increased ADA activitywas frequently observed.
(4) Mycobacterium tuberculosis was detected in the sputum of 65%, and also in thepleural effusion of 28% of the patients. The pathological diagnosis of tuberculosis wasmade by pleural biopsy in 83 % of the patients, suggesting that pleural biopsy is very usefulin the diagnosis of tuberculosis pleurisy.
(5) The prognosis of the patients with tuberculosis pleurisy was good. Steroid therapywas generally ineffective.

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