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目的探讨结核性渗出性胸膜炎的治疗方法。方法对50例初治结核性渗出性胸膜炎随机分为A、B两组。A组2HREZ/4HR加大剂量激素递减。B组在A组方案中加用2个月氧氟沙量辅助治疗。4周后疗程结束时,分析两组疗效。结果两组患者在症状及胸液吸收、胸膜粘连方面差异有统计学意义(P<0.05)。结论在结核性渗出性胸膜炎短程化疗强化期加用氧氟沙星,具有胸腔积液吸收快、胸膜粘连增厚发生率低,副作用小等优点。
Objective To investigate the treatment of tuberculous exudative pleurisy. Methods Fifty newly diagnosed tuberculous exudative pleurisy were randomly divided into A and B groups. A group 2HREZ / 4HR increased dose hormone decreased. B group in the A group of programs plus 2 months of oxaliplatin adjuvant therapy. Four weeks after the end of treatment, two groups were analyzed. Results The two groups of patients in the symptoms and pleural fluid absorption, pleural adhesions differences were statistically significant (P <0.05). Conclusions In the intensive chemotherapy of tuberculous exudative pleurisy combined with ofloxacin, pleural effusion with fast absorption, the incidence of pleural thickening is low, the advantages of small side effects.