包裹性胸膜炎是临床上较常见的胸膜炎 ,多是由于渗出性胸膜炎患者诊治延误、胸液处理不及时形成。此类患者胸液结核菌阳性检出率极低 ,确诊多靠临床症状、胸液特性及医师经验。在治疗过程中我们发现 ,胸腔内注入尿激酶在减轻胸膜增厚、消除粘连的同时 ,胸液中结核菌检出率明显 Encapsulated pleurisy is more common in clinical pleurisy, mostly due to delay diagnosis and treatment of patients with exudative pleurisy, pleural effusion is not formed in time. Mycobacterium tuberculosis positive rate of such patients is extremely low, confirmed by more clinical symptoms, pleural fluid properties and physician experience. In the course of treatment we found that intrapleural injection of urokinase in reducing pleural thickening, the elimination of adhesions at the same time, the detection rate of tuberculosis in tuberculosis was significantly