【胸膜穿刺活检——儿童浆液性结核性胸膜炎的诊断方法】。

G Murgoci, P Galbenu
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引用次数: 0

摘要

在针的帮助下进行胸膜壁活检已成为诊断病因不明的成年胸膜疾病的重要方法,并可能成为儿童胸膜病的辅助临床方法。儿童结核性浆液性胸膜炎的明确诊断是通过在直接试验或培养中显示明显的科赫杆菌,以及在胸膜活检穿刺碎片上显示明显的结核性病变。该研究得到了对6名儿童胸膜活检穿刺结果的支持。6例中有4例胸膜碎片的组织学检查显示明显存在结核性淋巴上皮样结节伴中央坏死,因此具有确定性。胸膜活检穿刺允许早期和确定诊断超过三分之二的胸膜结核病因。
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[Pleural puncture biopsy--a diagnostic method in serofibrinous tuberculous pleurisy in children].

The biopsy of the parietal biopsy with the help of a needle has become an essential method of diagnosis in the adult patients with a pleural malady of an unknown etiology and may become a complementary paraclinical method in children. A sure diagnosis in the tubercular serofibrinous pleurisy with children is made by rendering evident the Koch bacillus on the direct test or in culture and by rendering evident the tubercular lesions on fragments of pleural biopsy puncture. The study is supported on the results obtained at the pleural biopsy puncture performed on a number of 6 children. In four cases out of six the histological test of the pleural fragment has rendered evident the presence of tubercular lymphoepithelioid nodulus with central necrosis, thus carrying the argument of certitude. The pleural biopsy puncture allows an early and sure diagnosis in over two-thirds of the pleurisies of a tubercular etiology.

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