Treatment of Pleurisy

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The treatment of tuberculous pleurisy.

The object of treatment in tuberculous pleurisy is to shorten the acute phase of the illness, to restore the integrity of the pleura, and, above all, to prevent further manifestations of tuberculosis. Rest, chemotherapy, and aspiration are each supposed to achieve some of these aims, but their relative importance has not been established. The value of rest was stressed by Roper and Waring (1955...

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Randomised trial of corticosteroids in the treatment of tuberculous pleurisy.

BACKGROUND Tuberculous pleurisy can result in pleural fibrosis, calcification and thickening. To prevent these complications, corticosteroids are frequently used in addition to antituberculous drugs; however, new therapeutic regimens can control the disease and minimise the sequelae, and there is no convincing evidence of the benefit of the use of corticosteroids as adjuvant therapy. METHODS ...

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Early effective drainage in the treatment of loculated tuberculous pleurisy.

The role of early effective drainage in loculated tuberculous (TB) pleurisy treatment remains unclear. Consecutive patients with TB pleurisy subjected to anti-TB treatment and pigtail drainage (n = 64) were divided into three groups: 1) patients with free-flowing effusions irrigated with saline (free-flowing group; n = 20); 2) patients with loculated effusions irrigated with streptokinase (stre...

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Diaphragmatic Pleurisy

That form of inflammation which attacks the apposed pleural surfaces lining the base of the lung and the diaphragm has been recognised from of old by physicians. M. Gueneau de Mussy* wrote a memoir on the subject about the year 1853, and he mentions that "the ancients considered delirium to be an urgent symptom of inflammation of the diaphragm, whence arose one of the terms applied to the struc...

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ژورنال

عنوان ژورنال: The Boston Medical and Surgical Journal

سال: 1846

ISSN: 0096-6762,1533-4406

DOI: 10.1056/nejm184609300350902