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一、结核性胸膜炎结核性胸膜炎是结核性浆膜炎中最常见的一种。多发生在原发性结核感染后的半年内,以年长儿为多见,3岁以上儿童占87.6％。肺内原发结核病灶常常紧贴脏层胸膜,所以易引起胸膜反应,发展为胸膜炎。从部位上分,尚见叶间胸膜炎、纵隔胸膜炎。结核性胸膜炎的发病可急可缓,病初常伴高热,1～2周后呈低热。同时有患侧胸痛,多在早期渗液较少时出现,积液量多时则消失。在病程中尚有乏力、咳嗽,气促、胸闷等症状。在体格检查时,患侧呼吸运动受限,叩诊呈浊音,语颤减弱,听诊呼吸音减弱。渗液量多时,肝脏或脾脏下移而易被触及。
First, tuberculous pleurisy Tuberculous pleurisy is the most common type of tuberculous serositis. Occur in six months after the primary tuberculosis infection, more common in older children, children over the age of 3 accounted for 87.6%. Primary pulmonary tuberculosis often close to the visceral pleura, it is easy to cause pleural reaction, the development of pleurisy. Points from the site, still see Ye pleurisy, mediastinal pleurisy. The incidence of tuberculous pleurisy can be slow, the disease is often accompanied by high fever, 1 to 2 weeks after the fever. At the same time, ipsilateral chest pain, more in the early exudate less when the fluid volume disappears. In the course of fatigue there is still, cough, shortness of breath, chest tightness and other symptoms. In physical examination, ipsilateral respiratory movement is limited, percussion was voiced, weakened tremor, auscultatory breath sounds weakened. Exudate, liver or spleen down and easily touched.