Treatment and nursing of pleurisy (1) General treatment and nursing: Exudative pleurisy often has fever, so you should lie flat and rest, and adopt the position of the affected side to make the healthy side lung fully play its compensatory role. Strengthen nutrition, stimulate appetite, and give a diet with high protein, high calorie and digestible vitamins. Patients with high fever should be taken care of like patients with high fever. (2) Anti-tuberculosis treatment and nursing points: The principle of anti-tuberculosis treatment is early treatment, with sufficient drugs and long-term use. Streptomycin and isoniazid are commonly used to treat tuberculous pleurisy. During the use of streptomycin, it should be observed whether the patient has any toxic reactions such as numbness of lips, tinnitus and deafness, and if so, the drug should be stopped immediately. The hearing damage caused by streptomycin is permanent, so we must be vigilant and be more cautious when giving drugs to children. Isoniazid has strong bactericidal power, can penetrate tissue and blood-brain barrier, and can be administered by intratracheal instillation or intrathoracic administration. Long-term use of isoniazid should observe the damage to the liver, regularly test the liver function and add liver-protecting drugs in time. If there are central nervous system reactions such as dizziness, insomnia or convulsions, vitamin B6 can be added for symptomatic treatment. (3) Application of adrenocortical hormone: While using anti-tuberculosis drugs, prednisone is suitable for acute tuberculous exudative pleurisy, which can relieve systemic poisoning symptoms, promote exudate absorption and reduce pleural adhesion. Hormones can be used systemically or locally. When you stop using hormones, you should pay attention to gradually reducing the amount to avoid rebound. (4) Nursing care of pleural effusion: If there is too much pleural effusion, the mediastinum or the heart is compressed, the dyspnea is obviously serious, and the exudate is absorbed slowly after drug treatment, pleural effusion can be extracted through pleural puncture to relieve symptoms and avoid pleural adhesion and thickening caused by fibrin deposition. Explain the patient's condition before taking the liquid to reduce the mental stress of bacteria. Prepare articles and medicines, and strictly carry out aseptic operation. The pumping speed should not be too fast. The first pumping speed can be 400 ~ 600 ml, and then it can be gradually increased, but it should not exceed 1000ml each time to avoid circulatory disorder or shock caused by sudden drop of chest pressure and mediastinal displacement. Observe the patient's breathing and heart rate at any time during the operation. If the patient complains of palpitation, shortness of breath, sweating, etc. It is suggested that pleural shock reaction, he should stop the operation, inject adrenaline subcutaneously, and ask the patient to lie flat or semi-lie down and take oxygen to rest. After aspiration, anti-tuberculosis drugs and glucocorticoid can be injected into pleural cavity according to the needs of the disease to improve the curative effect of local diseases. (5) Psychological nursing: It should be explained to patients that the disease is completely treatable, and we should actively cooperate. It is a chronic disease and easy to relapse. Treatment takes a long time, so we should stick to medication and complete the course of treatment according to the doctor's guidance. 6. It is very important to prevent tuberculous pleurisy from secondary to tuberculosis.