老年人胸腔积液与胸膜炎怎么治
Jun 25, 2019
Source: Cainiu Health
Dr. Li Ping
Introduction
How to Treat Pleural Effusion and Pleurisy in Elderly Patients:
First, if the volume of pleural effusion is large, thoracentesis or closed thoracic drainage is typically required. The nature and underlying cause of the effusion are determined based on laboratory analysis of the pleural fluid, enabling targeted etiology-based treatment. In cases of malignant pleural effusion—particularly in elderly patients—metastatic cancer must be carefully ruled out; management focuses on symptomatic and cause-specific therapy.
老年人的胸腔积液与胸膜炎并不是一个概念。老年人如果发生胸膜炎，可能会产生胸腔积液，胸腔积液是胸膜炎所导致的结果。
首先是胸腔积液量比较大，一般需要行胸腔穿刺，或者行胸腔闭式引流。主要是为了缓解病人胸闷气喘，压迫肺的Symptoms。行胸腔穿刺或者是胸腔闭式引流以后，可以行胸腔积液的Laboratory Test。
根据胸腔积液Laboratory Test结果来判断所产生积液的性质以及病因，根据病因对症Treatment。常见的胸腔积液或者胸膜炎一般有结核性的胸膜炎。
还有其他细菌导致的炎性胸膜炎，还有Cancer的胸腔积液，对于老年人需要警惕Cancer转移所产生的癌细胞，主要是对症Treatment，寻找病因，积极Treatment原发病。
