目的:对结核性脓胸的预防发生及提高治愈率进行探讨。方法:对30例给核性脓胸的诊治进行回顾性分析。结果:18 例脓胸完全闭合,7例脓胸不完全闭合,其中2例合并支气管胸膜瘘治愈;4例转外科手术;1例放弃治疗。结论:结核性胸膜炎延误诊治和治疗不当是形成脓胸的主要原因。脓腔冲洗后,氧氟沙星注射液保留注入胸膜腔,有助于控制脓腔的感染,促进脓腔闭合。 Objective: To explore the prevention of tuberculous empyema and improve the cure rate. Methods: The clinical data of 30 cases with empyema of empyema were analyzed retrospectively. Results: 18 cases of empyema closed completely, 7 cases of empyema were not closed completely, of which 2 cases were complicated by bronchopleural fistula, 4 cases were treated by surgery and 1 case was abandoned. Conclusion: Delayed diagnosis and treatment of tuberculous pleurisy is the main reason for the formation of empyema. After the abscess rinse, ofloxacin injection reserved injection into the pleural cavity, help control the infection of the abscess cavity, and promote the closure of the abscess cavity.