结核病主要靠抗痨药物治疗,激素治疗仅起辅助作用。一、结核性胸膜炎:急性渗出性胸膜炎时,胸膜敏感性增高,通透性增加,含纤维蛋白渗液进入胸膜腔。其治疗的关键是控制炎症,减少渗出,清除积液,防止并发症。激素具有抗炎、抗过敏、降低细胞膜通透性和抗纤维素形成等作用,故对结核病有较好疗效。据我们观察,对急性胸膜炎伴中等以上积液者,及早给予抗痨、抽胸水及配用激素治疗,能加速渗液的吸收和毒血症的改善,防止发生胸膜增厚,但对陈旧性胸膜炎疗效甚差。陈达庄报 Tuberculosis mainly by anti-tuberculosis drugs, hormone therapy only play a supporting role. First, tuberculous pleurisy: acute exudative pleurisy, pleural sensitivity increased, increased permeability, with fibrin exudate into the pleural cavity. The treatment of the key is to control inflammation, reduce exudate, clear effusion, prevent complications. Hormone with anti-inflammatory, anti-allergic, reduce cell membrane permeability and the role of anti-cellulose formation, so the tuberculosis has a good effect. According to our observation, acute pleurisy with medium or more effusion, early anti-tuberculosis, chest fluid and with hormone therapy, can accelerate the absorption of exudate and to improve the sepsis to prevent the occurrence of pleural thickening, but the old Pleuritis has poor efficacy. Chen Da Zhuang newspaper