结核性胸膜炎强化治疗中发生多发性浆膜炎国内尚罕见报导,现特介绍1例如下: 患者男性,38岁,因午后发热,盗汗,疲倦,消瘦40余天,入院前3周曾在某医院诊断为右下结核性胸膜炎,曾抽出淡黄色胸液500ml,经用SM,INH,EMB治疗10余天,因症状无缓解而转院,入院时胸部X线示右胸有中～大量积液,左膈面平滑,体检未发现有腹水征。入院后加用RFP,作强化抗结核治疗2周,仍有持续发热,胸部CT,胸、腹部B超发现双侧胸积液及腹腔积液,胸液常规及生化,胸膜活检,血CEA,ANA及LE细胞,狼 Tuberculous pleurisy intensive treatment of multiple sepsis is still rarely reported in China, are introduced 1 case as follows: Male patients, 38 years old, due to afternoon fever, night sweats, fatigue, weight loss more than 40 days, 3 weeks before admission to a hospital Diagnosis of lower right tuberculous pleurisy, had extracted light yellow pleural effusion 500ml, SM, INH, EMB treatment with more than 10 days, due to symptoms without remission and transferred to the hospital when the chest X-ray showed right chest with a lot of effusion, the left diaphragm Smooth surface, physical examination did not find signs of ascites. Admission plus RFP, for intensive anti-TB treatment for 2 weeks, there are still persistent fever, chest CT, chest, abdominal B-found bilateral pleural effusion and ascites, pleural fluid routine and biochemical, pleural biopsy, blood CEA, ANA and LE cells, wolves