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目的提高对结核性渗出性胸膜炎临床特点、诊断及治疗的认识。方法收集本院187例结核性胸膜炎个案资料进行临床分析。结果早期、足量、全程、规律、联合应用抗结核药物及尽早、尽可能胸腔穿刺抽液,同时在掌握适应症的情况下辅以糖皮质激素、免疫、溶纤及营养支持治疗,88.2%患者胸水明显减少或难以再抽出,临床症状明显减轻或消失,治疗效果佳。结论结核性渗出性胸膜炎是临床常见的呼吸系统疾病,尽早就诊和足量、规律、全程、联合用药可获得良好疗效。
Objective To improve the clinical features, diagnosis and treatment of tuberculous exudative pleurisy. Methods A total of 187 cases of tuberculous pleurisy in our hospital were collected for clinical analysis. Results Early, adequate, full, regular, combined anti-TB drugs and as soon as possible thoracentesis aspiration, while glucocorticoid, immune, fibrinolytic and nutritional support supplementation in the indications, 88.2% Patients with pleural effusion was significantly reduced or difficult to extract again, clinical symptoms significantly reduced or disappeared, the treatment effect is good. Conclusions Tuberculous exudative pleurisy is a common respiratory disease in clinic. Early treatment and sufficient quantity, regularity, whole course and combination therapy can obtain good curative effect.