结核性胸膜炎 抗结核方案

结核性胸膜炎 抗结核方案

Pulmonary and extrapulmonary disease should be treated with the same regimens (see Chapter 3).1 Note that some experts recommend 9–12 months of treatment for TB meningitis (2, 3) given the serious risk of disability and mortality, and 9 months of treatment for TB of bones or joints because of the difficulties of assessing treatment response (3). Unless drug resistance is suspected, adjuvant corticosteroid treatment is recommended for TB meningitis and pericarditis (1–4). In tuberculous meningitis, ethambutol should be replaced by streptomycin.

肺和肺外疾病应该具有相同的方案治疗（见3章）。1注意，一些专家建议12个月9–治疗结核性脑膜炎（2, 3）给定的病死率和致残率的严重风险，与结核骨或关节治疗9个月，评估治疗反应的困难（3）。除非怀疑有抗药性，推荐使用皮质类固醇激素治疗结核性脑膜炎和心包炎（1 - 4）。在结核性脑膜炎，应代之以链霉素乙胺丁醇。