Pleural effusion is usually caused by pleurisy or tuberculous pleurisy. When pleural effusion occurs, you should seek medical attention promptly to confirm the cause. Through fluid culture, it can be determined that pleural effusion is caused by tuberculosis. The disappearance of pleural effusion after anti-inflammatory injection does not necessarily mean that it is all tuberculosis. It is still necessary to conduct some blood routine, erythrocyte sedimentation rate and other tests to determine the specific cause of the disease. There are different treatments for different causes. 1. The pleural effusion was injected with an anti-inflammatory injection and the effusion disappeared. It is recommended to culture the effusion. If there is no tuberculosis bacteria, it may be caused by inflammation. It is recommended to find the cause of the effusion. This situation may be tuberculosis. At present, I suggest timely rest and maintenance. CT scan can be used for diagnosis. 2. Since it is clearly tuberculous pleurisy, standardized treatment must be carried out, including standardized anti-tuberculosis treatment. Pleural effusion must be extracted, and pleural effusion must be extracted actively. Standardized anti-tuberculosis treatment must be carried out, and generally the condition will improve. 3. Pleural effusion can be seen in a variety of diseases, such as general pleurisy, tuberculous pleurisy, tumors, etc., and further examination is needed to clarify opinions and suggestions: In this case, routine blood tests, erythrocyte sedimentation rate, chest CT or pleural effusion testing are needed to clarify the nature of the lesion. If anti-inflammatory treatment is effective, it means it is not tuberculosis. 4. This is difficult to distinguish because pleural effusion caused by external infection and inflammation can cause fever. In this case, it is mostly considered that there is inflammation in the lungs causing repeated fever. It is recommended that you go to the hospital for a chest CT scan to determine the current amount of pleural effusion and give intravenous anti-inflammatory drug treatment. Get some rest. 5. Pleural effusion is mostly caused by tuberculosis, and a small part is caused by bacterial infection. It is recommended that you go to the hospital for hospitalization. If the time is too long, it may cause pleural effusion and pleural adhesion and hypertrophy, which is not good. For this consultation, the doctor updated the summary and suggestions: If it is tuberculosis, it is relatively easy to treat, but the course of the disease is long and the medication time is also long. 6. Pleural effusion is a symptom of tuberculosis and pleurisy, and also a symptom of lung cancer. If the anti-inflammatory treatment is not effective, it may be lung cancer and must be vaccinated. If there is fluid in the chest cavity, the fluid will compress the lung tissue, causing the expansion of the lung to be affected, so breathing will be restricted. The condition of the lung lobe cannot be seen from your examination results. 7. Pleurisy phenomenon. There are several situations in the course of pleurisy: ① bacterial purulent pleurisy phenomenon, ② related to tuberculosis infection - tuberculous pleurisy, ③ related to local lung tumors and exudative pleurisy. See a doctor for necessary examinations, identify and confirm the disease and provide symptomatic treatment. If it is a purulent infection, it is recommended that you actively take anti-inflammatory treatment. If it is a tuberculosis infection, it is recommended that you take anti-tuberculosis treatment. |
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