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KMID : 0377619760300020207
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Korean Jungang Medical Journal
1976 Volume.30 No. 2 p.207 ~ p.214
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Clinical Studies on Diseases of the Pleura 1. Diagnostic Studies on idiopathic Pleural Effusions
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金洋一/Kim, Yang-II
李英玉/金東秀/李學重/Lee, Yung-Ok/Kim, Dong-Soo/Lee, Hak-Choong
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Abstract
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Twenty-three patients with pleural effusion of unknown etiology were selected because by means of radiological and cytologic examination, smear of the sputum and pleural fluids for tubercle bacilli and eggs of the lung fluke had failed to provide a diagnosis, from September, 1974 to October, 1975 at the Department of internal Medicine, National Medical Center in Korea.
Needle biopsy of the pleura using Vim-Silverman needle, culture of the sputum and pleural fluids for tubercle bacilli, red blood cell, lymphocyte, monocyte and
mesothelial cell counts in the pleural fluids, and measurement of the pleural fluid glucose and pH levels were done to provide definite or suspected diagnosis.
The results were as follows:
1) neeedle biopsies were done on 23 patients and 11 of these showed tuberculous
findings, 2 of these showed lymphoma and the remaining 10 showed nonspecific
chronic inflammation (43.5%). In one patient of the nonspecific group, an open pleural
biopsy which showed paragonimiasis.
2) culture of the pleural fluid was positive for tubercle bacilli in only 2 of the tuberculous group and 1 of the nonspecific group.
3) Used in conjunction with pleural fluid red blood cell, lymphocyte, monocyte, rresothelial cell counts and glucose, pH levels, most provable tuberculous etiology could be established in 6 of 8 nonspecific group, and remaining 2 were as idiopathic pleural effusion. There was no significant statistical difference in the laboratory
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