结核性渗出性胸膜炎治疗成败的关键在于是否积极抓住治疗的时机及确定正确的治疗方案。一般发病后1～2周是关键时刻,如能积极采取综合措施,往往可以获得满意的效果。基础治疗不可忽视,尤其一般情况差、营养状态不良的病人,必须加强支持疗法。低蛋白血症不利于胸水的吸收,毒性症状明显的病人应严格卧床休息,药物不能代替休息。 The key to the success or failure of tuberculous exudative pleurisy is whether to actively seize the timing of treatment and determine the correct treatment. Generally 1 to 2 weeks after the onset is the critical moment, if we can actively take comprehensive measures, we can often get satisfactory results. Basic treatment can not be ignored, especially in poor general condition, malnutrition patients, we must strengthen supportive therapy. Hypoproteinemia is not conducive to the absorption of pleural effusion, toxic symptoms of patients should be strictly bed rest, the drug can not replace rest.