Tuberculosis pleurisy treats _'s treatment

Tuberculosis pleurisy treats _'s treatment
Most patient therapeutic effect satisfied antituberculotic have, a few chest liquid needn't smoke liquids or do diagnosis puncture alone the same, the thorax is punctured to not merely contribute to diagnosing, and can remove the lung, heart, blood vessel and is pressed, improve and breathe, prevent fibrin calmness and pleura from increasing thick, make the lung function avoid damaging. Can lighten toxic symptom after smoking the liquid, the body temperature drops, contribute to making the lung oppressed reply one rapidly. A large number of chest liquid person smokes liquid 2- 3 times every week, until the liquid of chest is totally absorbed. Smoke the intersection of liquid and quantity, should exceed 1000ml is too fast releasing liquid can enable the thorax pressure lower sharply too much each time, the lung edema happens or circulate the obstacle. The lung edema, is shown as drama coughing, shortness of breath, coughing a large number of foam phlegm after this kind of lung produced rapidly since smoke the liquid of chest replies one, one pair of lungs abounds with the turbid wet sound, PaO2 drops, the X-ray reveals the lung edema is solicited. Should immediately oxygen intake,last glucocorticoid and diuretic,it is last water quantity not to control, monitor condition and acid-base balance tightly. Happen, show as dizzy release liquid, cold sweat, palpitation, pale complexion, pulse detailed and four limbs take place not cool " The pleura reacts " When, should stop smoking the liquid immediately, make the patient flat and lie, 0.1% of the Epinephrine 0.5ml of hypodermic injection if necessary, observe the condition closely, pay attention to blood pressure, prevent shock. Generally speaking, after smoking the liquid of chest, it is unnecessary to pour into the medicine in the thorax.
Glucocorticoid can reduce allergy and inflammation of the organism and react, improve toxic symptom, accelerate the liquid of chest to absorb, sequela of increasing thick etc. that reduce the pleura adhesion or pleura. But there is certain bad reaction or lead to the fact tuberculosis is sown scatteredly, so should know cautiously that adapt to the card. Acute tuberculosis exudative pleurisy and toxic symptom of whole body are serious, the more one of chest liquid, while resisting drug therapy of tuberculosis, can add and use glucocorticoid, usually by splashing the Buddhist nun loose or splashing Buddhist nun's loose dragon 25- 30mg/d, divide for 3 times and take orally. Treat body temperature normal, whole body toxic symptom lighten, disappear and when the intersection of chest and liquid obviously reduce, namely should close gradually ing amount even inactive. It should not be too fast to stop the medicine speed, otherwise apt to jump the phenomenon instead, the general course of treatment is about 4- 6 weeks.
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