Tuberculosis is a highly contagious disease, which mainly refers to the infection of the patient's lungs by Mycobacterium tuberculosis. It is a chronic disease that is not only very difficult to treat, but also causes great physical and mental pain to the patient. Some patients with pulmonary tuberculosis may also experience other complications, such as the development of effusions. So, is it serious if there is effusion in pulmonary tuberculosis? Pulmonary tuberculosis can cause pleural effusion. Pulmonary tuberculosis is a chronic inflammation caused by infection with Mycobacterium tuberculosis. All inflammations have three characteristics: degeneration, exudation, and hyperplasia. Degeneration means that cell necrosis is reduced, and exudation is caused by the components in the blood vessels, such as ions and some proteins, reaching the tissue gaps through the dilated capillaries. After tuberculosis, the tissue exudes into the lung gap, and pleural effusion will occur. Pleural effusion is commonly caused by tuberculous pleurisy, which includes tuberculous dry pleurisy, exudative pleurisy and tuberculous empyema. Tuberculous pleurisy can cause pleural effusion. Tuberculous pleurisy can lead to an increase in pleuritic exudate and the appearance of pleural effusion, which is one of the common causes of pleural effusion. The principles of treatment for thoracic cavity disease caused by pulmonary tuberculosis are chemotherapy with anti-tuberculosis drugs and pleural drainage. 1. Chemotherapy with anti-tuberculosis drugs. 2. Thoracocentesis and drainage. 3. Application of adrenal cortex hormone. You can ask your doctor for details. Treatment mainly uses diuretics to increase the excretion of sodium and water, which helps to reduce blood volume and reduce pulmonary vascular congestion; cardiotonic drugs to increase myocardial contractility, improve left ventricular function, and increase cardiac output; arterial vasodilators to dilate arterioles and reduce systemic vascular resistance; and venous vasodilators to reduce the amount of blood returning to the heart and reduce left ventricular filling pressure. Non-drug treatment includes correcting the inducing factors, limiting salt intake (less than 2 grams per day), limiting water intake (less than 1200cc per day), and appropriately limiting the amount of activity. Malignant pleural effusion requires systemic anti-tumor chemotherapy, followed by lidocaine. The patient must lie in bed and rest more, and change posture regularly so that the drug can come into contact with all parts of the body. From the above analysis, it can be seen that pulmonary tuberculosis can cause pleural effusion. The most important thing for patients is to receive scientific treatment as soon as possible and cure pulmonary tuberculosis as soon as possible, otherwise the phenomenon of pleural effusion will recur. |
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