结核性脓胸的重新认知与治疗展望

The Recognition and Treatment Prospect of Tuberculous Empyema

结核性脓胸在临床上并不少见,根据结核性脓胸形成的原因,可以将结核性脓胸分为原发性结核脓胸、继发性结核脓胸两大类。随着肺结核疾病地有效控制,继发于结核空洞、脊柱结核的继发性结核脓胸已经在临床上少见,目前临床上最常见的结核脓胸多为原发性结核脓胸。原发性结核脓胸多由结核性胸膜炎发展而来,了解认知原发结核性脓胸的发展规律,在不同结核脓胸阶段给予相应的针对性治疗可以及时有效的阻断结核性脓胸的自然病理过程,改善患者的预后,对结核性脓胸的重新认知与治疗展望进行综述。

Tuberculous empyema is not uncommon in clinical. According to the causes of tuberculosis empyema, tuberculous empyema can be divided into two major categories： primary tuberculous empyema and secondary tuberculosis empyema. With the effective control of tuberculosis, secondary tuberculous empyema secondary to tuberculosis cavity and spinal tuberculosis is rare in clinical. The most common clinical tuberculous empyema is primary tuberculosis empyema. Primary tuberculous empyema is mostly developed from tuberculous pleurisy to understand the development of cognitive primary tuberculous empyema, and corresponding targeted treatment in different tuberculous empyema can effectively block the natural pathological process of tuberculous empyema and improve the prognosis of patients. A review of the recognition and treatment of tuberculous empyema is reviewed.