关键词: 浆膜炎,结核性, 临床研究

Abstract: Objective To explore the clinical characteristics of tuberculous multiple serositis (TMS),and to improve the diagnostic and therapeutic level.Methods Retrospective analysis of 45 cases of TMS with reviewing of clinical data.Results (1)Middle aged and young patients under 40 years old were most commonly seen.(2)Fever,oppressed feeling and abdominal distension were the most frequent clinical symptoms.(3)The total cases were complicated with pleursy,and the unilateral pleurisy complicated ascites were common.(4)Nearly half of the patients showed hematogenous disseminated type of pulmonary TB who had hydrops occurred simultaneously in 3 cavities.(5)The clinical efficacy of chemotherapy with rifampicin (RFP) containing regime yielded satisfactory clinical efficacy.High age,complicated with pericarditis,and with hypoalbuminemia were the therapeutic effects related factors.Conclusion To those febrile accompanied with oppressed feeling and abdominal distension middle age and young patients,the physicians should pay attention to the investigation of chest film and Bultrasonogram,so as to rule out the TMS;To those confirmed diagnosed with serous cavity hydrops patients,the other serous cavities should also be investigated with concerning tests;the other serous cavities of hematogenous disseminated TB patients should also be checked as well.Early diagnosis and treated with RFP contaiving regime may yielded the satisfactory results.

Key words: Serocilis,tuberculosis, Clinical studies