脓胸76例分析

本文报道76例脓胸分析。认为脓胸多来自肺源性感染,防治肺部感染为降低脓胸发生率的重要措施。急性脓胸转为慢性主要由于治疗上的疏忽或潜在有肺部病理。对急性脓胸治疗应尽早采用闭式引流;晚期脓胸主张采用大敞开皮瓣引流。

AN ANALYSIS OF 76 CIASES OF THORACIC EMPYEMA

Seventy-six cases of empyema treated during the last 10 years were analysed. It was revealed that the most common cause of empyema was pulmonary infection, and, therefore, the early proper treatment of lung infections was the most important measure in the prevention of empyema. For treating empyemas in their early stage, except for preschool children and those who could not tolerate, the application of closed intercostal drainage seemed to de more effective than the intermittent aspiration method. For the later and chronic type of empyema, in the purpose of establishing adequate drainage and getting time for promotion of patient's general condition, we advocate large openskin flap drainage, which often render the empyema healed as a dry, non-secreating, epithelialized small residual cavity, even no further operations were required.