胸腔

Results The concentration of IL-18 in tubercular pleural effusion group was (1200.34±530.25) pg/ml, while that of the malignant pleural effusion group was (240.40±80.49) pg/ml, the former was significantly higher than the latter (P.01); The analytic result of ROC curve showed that 360 pg/ml IL-18 could be seen as the critical value for diagnosis of the tubercular pleural effusion, whose sensitivity and specificity respectively was 89.2% and 93.5%.

结果 结核性胸腔积液组IL-18的浓度为(1200.34±530.25)pg/ml，恶性胸腔积液组IL-18的浓度为(240.40±80.49)pg/ml，结核性胸腔积液组IL-18的浓度显著高于恶性胸腔积液组(P.01)；ROC曲线分析结果显示IL-18以360pg/ml为诊断结核性胸腔积液的临界值，其敏感度和特异度分别是89.2%和93.5%。

Finally, the developed system is applied in the ribcage shape measurement for patients with funnel chest. The ribcage shapes of a patient before and after the surgery for placing a fixation bar inside the chest are measured. The effect of the surgery can be evaluated by comparing the ribcage shapes before and after the surgery.

最后，将本文发展之系统应用於漏斗胸病人之胸腔外形量测，在置入固定杆件手术之前与之后分别量测病人之胸腔外形，经由比较手术前后之胸腔外形，可评估手术之效果。

Intention Appraise posting thorax obturate elicit treated virulent thorax seeper curative effect,and general thorax pump centesis compare.

目的 评价置管胸腔闭式引流治疗恶性胸腔积液的疗效，并与常规胸腔穿刺抽液术比较。

Posting thorax obturate elicit treated virulent thorax seeper curative effect good,on the safe side handle,can regard as trested virulent thorax seeper preferred.

置管胸腔闭式引流术治疗恶性胸腔积液的疗效佳，安全易行，可作为治疗恶性胸腔积液的首选。

Methods Totally 95 inpatients with pleural effusion (45 cases with tubercular pleural effusion, 50 cases with malignant pleural effusion) from August 2007 to July 2008 were selected as object. ELISA was used to detect the concentration of IL-18 in pleural effusion samples.

以2007年8月－2008年7月住院的95例胸腔积液患者为研究对象，其中结核性胸腔积液45例，恶性胸腔积液50例，应用酶联免疫吸附试验法检测胸腔积液标本中IL-18浓度。

Results The ultrasonic examination of tuberculosis hydrothorax showed that hydrothorax in thoracic cavity had no echo zone with clear sound transparent;pleura was thickened uniformly;opaque dark area of fluid had no parenchymatous phyma.Ultrasonic examination of cancerous hydrothorax showed that hydrothorax in thoracic cavity had no echo zone filled with full of thin light spots;sound transparent was not very clear;pleura showed uniform thickening;opaque dark area of fluid had parenchymatous uniform phyma.

结果 结核性胸腔积液超声检查显示胸腔内胸腔积液无回声区透声清，胸膜均匀性增厚，液性暗区内未见实质性肿块；癌性胸腔积液超声检查显示胸腔内胸腔积液无回声区内充满细小光点，透声欠清，胸膜多呈非均匀性增厚，液性暗区内可见有实质非均质性肿块。

Ultrasonic examination of cancerous hydrothorax showed that hydrothorax in thoracic cavity had no echo zone filled with full of thin light spots;sound transparent was not very clear;pleura showed uniform thickening;opaque dark area of fluid had parenchymatous uniform phyma.

结果 结核性胸腔积液超声检查显示胸腔内胸腔积液无回声区透声清，胸膜均匀性增厚，液性暗区内未见实质性肿块；癌性胸腔积液超声检查显示胸腔内胸腔积液无回声区内充满细小光点，透声欠清，胸膜呈非均匀性增厚，液性暗区内可见有实质非均质性肿块。

（1）Bullae of lung ruptured spontaneous pneumothorax is the best indication for VATS,which has the advantages of less trauma and ache,short operation time,quick recovery and small incision;（2）Recurrent unilateral spontaneous pneumothorax with contineous air leakage of 7 days after closed thoracic drainage,bilateral spontaneous pneumothorax should be treated by VATS;（3）Spontaneous pneumothorax with pleura adhesion can be treated by pneumonolysis and bullae of lung excision under thoracoscopy assisted small incision operation.

疗效满意。结论：（1）肺大泡破裂自发性气胸是胸腔镜手术最佳的适应证，与传统开胸手术相比，胸腔镜手术具有患者创伤小，手术时间短，术后疼痛轻，康复快，符合美容要求等特点；（2）反复发作的单侧自发性气胸，行胸腔闭式引流术后持续漏气7d，双侧自发性气胸，不论是否同时发作都可考虑胸腔镜手术治疗；（3）自发性气胸并胸膜粘连可用胸腔镜辅助小切口行粘连松解肺大泡切除术；（4）为减少一次性材料的消耗，降低手术成本，可辅助小切口使用常规胸科手术器械完成手术；（5）为减少术后复发率需行胸膜固定术。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各种疾病及其优越性。方法采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各疾病及其优越性方法采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。