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目的探讨小儿急性脓胸的治疗方案及疗效。方法回顾性分析62例小儿急性脓胸患儿的临床资料,包括一般药物治疗、手术治疗及预后疗效。结果 62例小儿急性脓胸早期给予积极胸腔穿刺抽液或胸腔闭式引流53例,治愈32例,余30例均采用胸腔廓清术或胸膜纤维板剥脱术,4例术后合并支气管胸膜瘘,保留引流管2周后瘘口闭合,复查胸部CT示两肺复张良好,本组无死亡病例。结论对小儿急性脓胸的治疗要选择合适的方法 ,并且运用时机要恰当。
Objective To investigate the treatment of children with acute empyema and efficacy. Methods A retrospective analysis of 62 cases of children with acute empyema clinical data, including general medical treatment, surgical treatment and prognosis. Results 62 cases of acute pediatric acute empyema given positive thoracentesis or chest closed drainage in 53 cases, 32 cases were cured, the remaining 30 cases were treated with pleural clearance or pleural fibrillation, 4 cases of postoperative bronchopleural fistula, retained Drainage tube closed 2 weeks after the fistula, chest CT showed a good double-sided recaptured, no deaths in this group. Conclusion The treatment of acute empyema in children should choose the appropriate method, and the timing should be appropriate.