How to treat chronic purulent pleurisy

The treatment of chronic purulent pleurisy includes etiological treatment, pleural puncture, closed drainage, antibacterial treatment, supportive treatment and surgical treatment. The specific treatment plan needs to be formulated according to the patient's condition. The treatment of chronic purulent pleurisy mainly includes the following aspects: 1. Etiological treatment: Active treatment of primary diseases, such as pneumonia, lung abscess, bronchiectasis, etc., to control infection. 2. Pleural puncture and drainage: For patients with obvious pleural effusion, pleural puncture and drainage can be performed to alleviate symptoms. 3. Closed pleural drainage: If pleural effusion is more, or symptoms are still not relieved after drainage, closed pleural drainage can be considered. 4. Antibacterial treatment: According to the drug sensitivity test results, select sensitive antibacterial drugs for treatment, the course of treatment is generally 6~12 weeks. 5. Support treatment: pay attention to rest, strengthen nutrition, give high protein, high calorie, vitamin-rich diet, in order to enhance the body resistance. 6. Surgical treatment: For chronic suppurative pleurisy that has not been cured for a long time, or complicated with thoracic deformity, empyema, etc., surgical treatment may be considered, such as thoracoplasty, pleural exfoliation, etc. In addition, for special groups, such as children, the elderly, immunocompromised persons, etc., treatment may need to be adjusted according to specific circumstances. At the same time, during the treatment process, it is necessary to closely observe the changes in the condition and adjust the treatment plan in time. In short, the treatment of chronic suppurative pleurisy requires comprehensive consideration of various factors, including etiology, severity of the condition, general conditions of the patient, etc., to formulate personalized treatment plan. Patients should actively cooperate with the doctor's treatment, pay attention to rest, strengthen nutrition, and promote the early recovery of the condition.