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小儿脓胸目前在边远农村仍较多见。本院10年来收治58例,其中39例经胸膜纤维板剥脱术治愈,现予报告。 临床资料 1 一般资料 本组39例,男28例,女11例;年龄8月至8岁,1岁以内2例,1～3岁9例,3岁以上28例。入院时发病时间均在3周以上,X光片显示有包裹积液、胸膜增厚、肺局部或大部不张,29例术前曾行胸腔穿刺抽液、闭式引流等治疗,疗效不佳遂来我院,17例入院时患侧肋间隙已变窄。 2 治疗 39例均行胸膜纤维板剥脱术。手术指征:(1)脓胸病程3周以上,经抗感染,多次抽脓,脓液稠厚,排出困难者;(2)X光片显示已形
Empyema in children is still more common in remote rural areas. 58 cases were admitted to our hospital in 10 years, of which 39 cases were cured by pleural fibrinolysis, is a report. Clinical data 1 General Information The group of 39 patients, 28 males and 11 females; aged 8 months to 8 years old, 1 year old in 2 cases, 1 to 3 years old in 9 cases, 3 years and older in 28 cases. Onset time of onset were more than 3 weeks, X-ray showed a package of effusion, pleural thickening, partial or partial atelectasis in the lungs, 29 cases had preoperative thoracentesis drainage, closed drainage and other treatment, the effect is not Jia Sui came to our hospital, 17 patients admitted to the affected side of the intercostal space has narrowed. 2 treatment of 39 patients underwent pleural fibroplasty. Surgical indications: (1) empyema course of more than 3 weeks, anti-infective, repeated pus, thick pus, discharge difficulties; (2) X-ray film has been formed