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1 临床资料及方法 1.1 病例选择 48例住院病人符合结核性渗出性胸膜炎的诊断标准。据β超探查的深度(上下径)分为中量(上下径为5～7(m)和大量(>7m)。右侧胸液32例,左侧胸液16例。男30例,女18例,年龄16～54岁,平均28.5岁。中量30例(男18例,女12例)。大量18例(男12例,女6例)。随机分为病情相似的治疗组与对照组各24例。两组在性别、年龄、积液部位及积液量均无明显差异。所有病人均抽液1次。大量抽500ml,中量均300ml,且均送检。 1.2 治疗方法 治疗组:20％甘露醇250ml内加维脑路通0.6g静滴(50～60滴/分),大量者每日2次,中量苦每日1次,7日为1疗程,并纠正水电紊乱。同
1 Clinical data and methods 1.1 Case Selection 48 inpatients meet the diagnostic criteria of tuberculous exudative pleurisy. According to the depth of β-probe (upper and lower diameter) is divided into the volume (upper and lower diameter of 5 ~ 7 (m) and a large number (> 7m) .32 cases of right pleural effusion and 16 cases of left pleural effusion. 18 cases, aged from 16 to 54 years old, average 28.5 years old.Middle amount of 30 cases (18 males and 12 females) A large number of 18 cases (12 males and 6 females) were randomly divided into treatment group and control group The group of 24 cases.The two groups in gender, age, site of effusion and fluid volume were no significant difference.All patients were pumping fluid.A large number of pumping 500ml, in the volume of 300ml, and are submitted for inspection.1.2 Treatment of treatment Group: 20% mannitol 250ml Negavenin 0.6g intravenous infusion (50 to 60 drops / min), a large number of 2 times a day, the amount of bitterness once daily, 7 days for a course of treatment, and to correct the hydropower Disorder