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本病是胸膜受结核菌感染而引起的胸膜炎症,是胸膜炎中最常见的一种,是结核菌由肺结核病灶直接蔓延或经淋巴、血行播散到达胸膜所致。 1.临床表现①多见于青少年,肺内可同时有或无明显结核病灶发现。起病多缓慢,有畏寒、发热、乏力、全身不适等结核病中毒症状。结核菌素试验多为阳性或强阳性。②胸痛、干咳、气急。胸痛为主要症状,限于患侧,咳嗽与深呼吸时加剧;渗液增多后,胸痛则减轻或消失。气急,在初期多因胸痛而呼吸浅速引起;后期大量胸水压迫
The disease is pleural inflammation caused by tuberculosis pleurisy inflammation, is the most common type of pleurisy, tuberculosis is caused by the spread of pulmonary tuberculosis directly or by lymph, blood dissemination reached the pleura. 1. Clinical manifestations ① more common in adolescents, the lungs can be found with or without obvious tuberculosis. Slow onset, chills, fever, fatigue, malaise and other symptoms of tuberculosis poisoning. Tuberculin test is mostly positive or strong positive. ② chest pain, dry cough, shortness of breath. Chest pain as the main symptom, limited to the affected side, cough and deep breathing increased; exudate increased, chest pain is reduced or disappeared. Shortness of breath, due to early chest pain and shallow breathing caused by a large number of late pleural effusion