结核性渗出性胸膜炎的临床诊断与治疗

Clinical Diagnosis and Treatment of Tuberculous Exudative Pleurisy

结核性渗出性胸膜炎是结核杆菌感染常见疾病,是由于结核杆菌初次入侵所引起的,以胸腔积液及中毒症状为典型表现,持续发展会导致患者肺功能减退,甚至发展为结核性脓胸,故临床及时进行准确诊断及治疗是决定患者预后的关键。影像学检查、胸膜活检是明确临床诊断常用的方法,抗结核药物治疗、胸腔穿刺引流、胸腔内药物注射、中西医结合治疗是常用治疗手段,本文就结核性渗出性胸膜炎的临床诊断与治疗作一综述,旨在为临床结核性渗出性胸膜炎的诊治提供参考。

Tuberculous exudative pleurisy is a common disease of Mycobacterium tuberculosis infection.It is caused by the first invasion of Mycobacterium tuberculosis.It is typified by pleural effusion and poisoning symptoms.Continuous development will lead to pulmonary hypoxia and even tuberculosis Empyema,therefore,accurate and timely clinical diagnosis and treatment is the key to determine the prognosis of patients.Imaging examination and pleural biopsy are common methods for clear clinical diagnosis.Antituberculosis drug treatment,thoracic puncture and drainage,intrathoracic drug injection,and integrated traditional Chinese and western medicine are common treatment methods.This article discusses the clinical diagnosis and treatment of tuberculous exudative pleurisy.This review is intended to provide a reference for the diagnosis and treatment of tuberculous exudative pleurisy.