Absence of Mesothelial Cells from Tuberculous Pleural Effusions
Absence of Mesothelial Cells from Tuberculous Pleural Effusions
复制标题
结核性胸腔积液中缺乏间皮细胞
DOI：
10.1136/thx.15.2.169
复制
发表时间：
1960
期刊：
影响因子：
10
通讯作者：
M. M. Boddington
中科院分区：
文献类型：
--
作者：
A. Spriggs;M. M. Boddington
临床教学中普遍认为结核性胸腔积液含有高比例的淋巴细胞。这是 Widal 注意到的两个特征之一（Widal 和 Ravaut，1900），另一个是间皮（“内皮”）细胞的缺失或稀缺。第二个特征比第一个特征更稳定，但由于某种原因没有被普遍知晓。回顾已证实的结核病病例的胸腔积液染色胶片，我们发现没有一个病例的间皮细胞数量足以计算出普通的分类计数。因此，该特征比淋巴细胞增多更加稳定。我们认为公布这些数据是值得的，因为看来实际上可以排除结核病作为含有大量间皮细胞的积液的原因。
It is a commonplace of clinical teaching that tuberculous pleural effusions contain a high proportion of lymphocytes. This was one of two characteristics noticed by Widal (Widal and Ravaut, 1900), the other being an absence or scarcity of mesothelial (" endothelial ") cells. This second feature is more constant than the first, but for some reason has escaped being generally known. Looking back over stained films of pleural effusions from proved cases of tuberculosis, we found no case in which mesothelial cells were numerous enough to figure in an ordinary differential count. This feature is therefore much more constant than the lymphocytosis. We felt that it would be worth while to publish the data, since it appears that tuberculosis can be practically excluded as the cause of an effusion that contains numerous mesothelial cells.