What are the treatment options for tuberculous pleurisy?

The treatment of tuberculous pleurisy mainly includes general treatment, anti-tuberculosis drug treatment, pleural puncture, glucocorticoid treatment and symptomatic treatment, treatment should follow the principle of individualization, pay attention to the treatment of special groups. Nutritional support: give high calorie, high protein, high vitamin diet, to enhance the body resistance. 2. Anti-tuberculosis drug treatment: chemotherapy principles: early, moderate, combined, regular, full-course medication. Commonly used drugs: isoniazid, rifampicin, pyrazinamide, ethambutol, etc. Treatment time: generally need 6~9 months. 3. Thoracentesis fluid extraction: Objective: Reduce the compression of pleural effusion on lung tissue and relieve symptoms. Suction volume: The first suction volume should not exceed 700 ml, and the subsequent suction volume should not exceed 1000 ml. Precautions: Close observation of the patient's reaction during the suction process, such as dizziness, palpitation, pale and other discomfort, should immediately stop pumping fluid. 4. Glucocorticoid therapy: Application: For patients with large pleural effusion and obvious dyspnea, glucocorticoids can be used on the basis of anti-tuberculosis drug treatment. Principle of use: short-term use, generally no more than 4 weeks. 5. Symptomatic treatment: fever: antipyretics, such as ibuprofen, acetaminophen, etc. Chest pain: analgesics, such as acetaminophen, tramadol, etc. Cough: Cough medicine can be used, such as ambroxol, dextromethorphan, etc. It should be noted that the treatment of tuberculous pleurisy should follow the principle of individualization, and the specific treatment plan should be formulated according to the patient's condition, age, physical condition and other factors. At the same time, patients in the treatment process should pay attention to rest, strengthen nutrition, take medicine on time, regular review, in order to improve the cure rate, reduce the occurrence of complications. In addition, for pregnant women, children, the elderly and other special groups, the treatment of tuberculous pleurisy needs special attention. Pregnant women should choose appropriate anti-tuberculosis drugs under the guidance of doctors, and pay attention to the impact of drugs on the fetus; The treatment plan of children patients should be adjusted according to factors such as age and weight; the physical function of elderly patients is relatively weak, and adverse reactions of drugs should be closely observed during treatment, and the treatment plan should be adjusted in time. In short, the treatment of tuberculous pleurisy requires comprehensive consideration of various factors and the development of personalized treatment plans. Patients should actively cooperate with the doctor's treatment, take medicine on time, pay attention to rest, strengthen nutrition, in order to promote the early recovery of the disease.