Sadovnikov A
Grud Serdechnososudistaia Khir. 1993 Nov-Dec(6):70-6.
Tuberculous involvement of the pleura became quite incident of late. Eighty-seven patients with this condition were hospitalized at the phthisiosurgery department of the Kostroma District Antituberculosis Center in 1985-1992. Tuberculous pleurisy was diagnosed in 30 patients, in 29 pleurisy was a complication of pulmonary tuberculosis (in 13 cases of infiltrative tuberculosis, in 12 of focal, in 3 of disseminated, and in 1 of cirrhotic pulmonary tuberculosis), in 8 patients acute tuberculous pleural empyema was diagnosed which developed in the presence of infiltrative and cirrhotic pulmonary tuberculosis, and in 18 cases chronic tuberculous pleural empyema with calcification was found. Two patients were operated on for pleural tuberculomas. Tuberculous pleurisy can be completely cured with drugs and therefore presents not a therapeutic but a diagnostic problem. In intricate cases wider use of invasive methods of examination may be recommended, such as puncture biopsy of the pleura, thoracoscopy with spot biopsy of the pleura, open biopsy of the pleura, and biopsy of peristernal lymph nodes.
近年来，结核性胸膜炎的发病率有所上升。1985年至1992年期间，87例患有这种疾病的患者被收治于科斯特罗马地区抗结核中心的结核病外科。30例患者被诊断为结核性胸膜炎，29例胸膜炎是肺结核的并发症（13例为浸润性肺结核，12例为局灶性肺结核，3例为播散性肺结核，1例为纤维空洞性肺结核），8例患者被诊断为急性结核性胸腔积脓，其发生于浸润性和纤维空洞性肺结核患者中，18例患者被发现患有伴有钙化的慢性结核性胸腔积脓。2例患者因胸膜结核瘤接受了手术治疗。结核性胸膜炎可以通过药物完全治愈，因此它不是一个治疗问题，而是一个诊断问题。在复杂的病例中，可能建议更广泛地使用侵入性检查方法，如胸膜穿刺活检、胸腔镜下胸膜点状活检、胸膜切开活检和胸骨旁淋巴结活检。
