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患者,女,35岁,因咳嗽,胸闷胸痛,并逐渐加重,不能右侧卧15天,在门诊输用大量抗生素治疗无效,于1991年5月2日入院,拍胸正位片显示右下肺5cm×7cm阴影,疑诊为右下肺占位性病变,次日B超示右侧液平第8肋,即行胸穿抽出草黄色微浊胸水1100ml,5日后再次抽出胸水500ml,确诊为右侧结核性胸膜炎,联合用SM+INH+RFD+PZA,用SM10日后感头眩晕而停药,其余INH+RFD+PZA每日服用,胸水于17日完全吸收后,6月8日出院继续治疗。6月17日出现左侧胸痛而不能患侧卧,6月20日再次入院,B超示液平第7肋,胸穿抽出胸水1200ml,先后5次(每次间隔4～6天)抽出颜色、透明度同前述胸水3600ml。6月22日加服强的松,以促进胸水吸收,减轻胸膜粘连,强的松用量每次10mg,1天3次,1周后
Patients, female, 35 years old, due to cough, chest tightness, chest pain, and gradually increased, not lying on the right side for 15 days, in the clinic with a large number of antibiotic therapy ineffective, admitted on May 2, 1991, pat the anteroposterior film shows the lower right Lung 5cm × 7cm shadow, suspicion of right lower lung space-occupying lesions, the next day on the right side of the B-level 8th rib, that is, the line of chest to wear grass yellow turbid pleural effusion 1100ml, 5 days after again drawn pleural effusion 500ml, diagnosed as Right tuberculous pleurisy combined with SM + INH + RFD + PZA, with SM10 after dizziness and diminished persistence of the tumor, the remaining INH + RFD + PZA taken daily, pleural effusion completely absorbed on the 17th, the discharge on June 8 to continue treatment. June 17 left side of the chest pain can not suffer from lateral, re-admitted on June 20, B ultrasound showed the first seven ribs, chest wear 1200ml of pleural effusion, has 5 times (each interval of 4 to 6 days) out of color , Transparency with the aforementioned pleural effusion 3600ml. June 22 Plus strong pine to promote absorption of pleural effusion, reduce pleural adhesions, the amount of prednisone 10mg, 1 day 3 times, 1 week