【摘要】 目的 总结回顾结核性胸膜炎引起肺底积液的临床特点，并探讨机理及治疗方法。 方法 对1992～2004年确诊的18例结核性肺底积液采用回顾性分析。 结果 18例病人均为中青年，为无力型体型，男性多于女性，胸膜炎均为单侧，无双侧同时肺底积液，病人绝大多数有结核中毒症状。12例采用卧位抽胸水有2例有胸膜肥厚，6例采用微导管引流无胸膜肥厚。所有病人预后好。 结论 肺底积液十分少见，要避免误诊必须掌握肺底积液的临床特点，采用合适的体位排除肺底积液。形成肺底积液的主要原因考虑是胸膜弹性大，肺底与膈肌之间负压高同时机体变态反应增高。

    【关键词】 结核;胸膜;肺底积液

    Clinical analysis of excessive pulmonic effused fluid caused by tuberculous pleurisy

    WANG Ping，ZHANG Bang-ming.

    Tuberculosis Department，Second Hospital of Yichang，Hubei443000，China

    【Abstract】 Objective To review and sum up clinical features caused by tuberculous pleurisy;to explore its mech-anism and medical treatment.Methods To analyze retrospectively18patients diagnosed with tuberculous pulmonic effused fluid from1992to2004.Results All18patients were youth as well as middle-aged ......