【摘要】 目的探讨结核性胸膜炎的治疗方法。方法将170例初治结核性胸膜炎患者随机分为3组。A组应用2HRZS/4RHE方案治疗,B组在应用A组方案治疗的基础上加用激素治疗,C组在应用B组方案治疗的基础上,强化期加用氟嗪酸进行治疗。观察6个月,分析3组疗效。结果患者在退热时间、胸液吸收及胸膜肥厚粘连发生率等方面,A组与B、C两组比较均有显著性差异(P<0.01),B组与C组比较,均无显著性差异(P>0.05)。结论在初治结核性渗出性胸膜炎时,选用合理的化疗方案、加用激素、积极抽出胸液是治疗的关键。若再加用氟嗪酸其疗效亦未能增加。更多还原

【Abstract】 Objective To explore how to treat tuberculous pleurisy.Methods 170 cases were divided into 3 groups.Group A were treated the 2HRES/4RHE therapy.Group B were treated with hormone in addition to the therapy used in Group A.And Ofloxacin was added in addition to the therapy used in Group B.The curative effects were observed for 6 months and then analyzed.Results In terms of antipyretic time,absorption of chest liquid and pleural thickening adhensive aggregation,there existed significant differences between Group A and Group B or Group C(P<0.01).Conclusion The key to successful treatment is to choose a rational therapy,to add hormone and to take out chest liquid.The addition of ofloxacin produces no obvious curative effects.更多还原