In the presence of tuberculous pleurisy, fibrin deposition leads to local pleural thickening, adhesions and traction. At this time, regular anti-tuberculosis treatment should be given as early as possible to adequately drain the effusion. For encapsulated effusion, intra-thoracic injection of urokinase can be given to facilitate the drainage of the pleural effusion cleanly to reduce pleural adhesions.
For patients with severe adhesions, surgical release treatment is an option.