230例结核性胸膜炎临床分析

The clinical analysis of 230 cases with tuberculous pleurisy

目的 总结结核性胸膜炎的临床特点 ,并探讨治疗方法。方法 对 1996年 1月— 2 0 0 0年12月住院并资料完整的 2 30例结核性胸膜炎采用回顾性分析。结果 2 30例中青年占大多数 (占86 .1% )且大多数具有典型结核中毒症状。 2 30例患者在积极抗结核治疗的同时给予尽早胸穿抽液 ,治愈 88例 (占 38.3% ) ,胸膜增厚 97例 (占 4 2 .2 % ) ,包裹 4 5例 (占 19.5 % ) ,其预后与治疗的早晚密切相关。结论 掌握结核性胸膜炎的临床特点 ,综合分析 ,早期诊断 ,合理治疗 ,可取得较好疗效。

Objective The characteristics of tuberculous pleurisy were concluded and evluate the treatment methods.Methods 230 cases of tuberculous pleurisy from January 1996 to December 2000 in hospital were reviewed and analyzed.Results Young and middle age occupy majority in the 230 patients and most patients have serious typical tuberculous symptoms.PPD test has not specificity.230 patients all have carried out active anti-tuberculous therapy and aspiration for pleural effusion.But patient's delay (duration from onset to consultation),rational chemotherapy were associated with the prognosis of patients.Results of treatment for the 230 patients were respectively recovered 88 (38.3%),pleural thickening 97(42.2%),pleural effusion be separated 45(19.5%).Conclusion A better results of treatment can be achieved by mastering the characteristics of tuberculous pleurisy,comprehensive analysis,early diagnosis and regular therapy.