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目的探讨结核性化脓性胸膜炎临床表现、治疗情况。方法选取32例19~65岁结核性化脓性胸膜炎患者,进行临床治疗分析和治疗效果评价。结果 32例患者住院时间为21~50 d,平均住院时间为34 d。病情好转出院后,转本所门诊继续抗结核治疗和定期复查。32例结核性脓胸患者抗结核治疗9个月,有3例抗结核治疗延长至12个月,所有患者治疗结束后,连续观察2年未见复发。结论抗结核与胸穿抽尽脓液,反复冲洗胸腔,最后向胸腔内注药同时治疗,治疗效果好,患者易接受。在临床工作中,要及时诊断,及早治疗。
Objective To investigate the clinical manifestations and treatment of tuberculous suppurative pleurisy. Methods 32 cases of tuberculous suppurative pleurisy between 19 and 65 years old were selected for clinical treatment analysis and evaluation of the therapeutic effect. Results 32 patients were hospitalized for 21 ~ 50 days, the average length of stay was 34 days. Condition improved after discharge, transfer to the clinic to continue anti-TB treatment and regular review. 32 cases of tuberculous empyema patients with anti-TB treatment for 9 months, 3 cases of anti-TB treatment extended to 12 months, all patients after treatment, continuous observation of 2 years no recurrence. Conclusion Antituberculous and thoracentesis pus pumped, repeatedly washed the chest, and finally to the intrathoracic injection of medication at the same time, the treatment effect is good, the patient is easy to accept. In clinical work, timely diagnosis and early treatment.