Clinical analysis of tuberculous pleurisy complicated with empyema
Objective To analyze the factors that contribute to the development of tuberculous pleurisy in-to tuberculous empyema.Methods The data of 32 patients with tuberculous empyema admitted to Taiyuan Fourth People's Hospital from June 2016 to June 2020 were analyzed,focusing on their clinical manifestations,imaging characteristics,evolution,and treatment outcomes.Results The age of the 32 patients ranged from 22 to 68 years old,with a mean age of(36±7)years.Twenty-nine of them were patients with tuberculous pleurisy as ir-regular medication,untimely drainage of pleural effusion,the course of the disease was delayed from 7 months to 5 years,the site of the lesion on the left side accounted for 18 cases,and the right side accounted for 12 cases.Drug-resistant tuberculosis was present in 3 cases.Three patients were ≥ 65 years of age and had a disease dura-tion of≥3 years.Three patients were ≥65 years old,with a disease duration of ≥3 years.They had chronic dia-betes mellitus,serum albumin ≤40 g/L,and body mass index(BMI)≤18.5kg/m2.Conclusion Regular and com-plete antituberculosis treatment is needed for patients with tuberculous pleurisy to control the infection in a short period of time,and to drain pleural effusion as early as possible to avoid tuberculous pusothorax in a prolonged period of time
NETL
NSTL
万方数据
