Infectious pleuritis or pleural effusion may cause chills and fever. Dry pleuritis, respiratory movement is limited, local tenderness, weakened respiratory sounds, and pleural friction sounds can be heard.
Exudative pleuritis, when the effusion is large, the respiratory movement of the affected side is limited, and even forced position, shortness of breath, accelerated heart rate, full chest, displaced the trachea to the healthy side, the percussion shows solid sound, and breathing is weakened or disappeared.
is suitable for the treatment of tuberculous dry or exudative pleurisitis. Isoniazid 300 mg per day, or rifampin 450 mg per day, or 0.75~1 g of ethylamine butanol per day, take it all at once and take the medicine for one month. Streptomycin is 0.75~1 g per day, intramuscular injection, 1~2 months.
For patients with suppurative pleurisy or tuberculous empyema, penicillin G is 1.6 million to 3.2 million units per day, divided into 4 intramuscular injections. Another 800,000 units can be added to the chest cavity.