How long a 24-year-old can survive tuberculous pleurisy depends on the patient’s own immunity and the severity of the disease, and most patients can be completely cured without affecting survival time. The life expectancy of patients with tuberculous pleurisy is affected by a number of factors, mainly related to whether the patient’s tuberculous pleurisy treatment is timely and thorough. If patients detect TB pleurisy early and undergo a full course of regular medication, it can generally be gradually eradicated in about 6-12 months without affecting the patient’s survival time. If TB pleurisy is detected late and is not treated with regular, full course of medication, resulting in refractory TB pleurisy, which gradually affects respiratory function and can cause respiratory failure, the patient may die at any time. However, with the current medical conditions, the possibility of their death is extremely low. Therefore, once the tuberculosis infection is clearly identified, one should promptly consult a designated tuberculosis hospital for combined, regular, full and appropriate anti-tuberculosis treatment under the guidance of a professional doctor.