复杂性肺炎旁胸腔积液的临床研究

Clinical Study of complicated parapneumonic effusion

目的探讨复杂性肺炎旁胸腔积液临床特征和治疗,提高临床诊治水平。方法回顾分析12例复杂性肺炎旁胸腔积液患者的临床特征、实验室检查、患者病情转归及处理措施。结果12例患者经有效抗生素及反复胸液穿刺引流,11例好转,1例死亡。8例胸腔注射尿激酶后胸液引流量较注射前增多。1例注射后出现血性胸水。结论复杂性肺炎旁胸腔积液需尽早确诊,尽早胸液穿刺并尿激酶注射充分引流胸水,以减少胸膜增厚和避免外科手术。

Objective To study the clinical characteristics of complicated parapneumonic effusion and to improve the diagnosis and therapy status. Methods The clinical presentation, laboratory examination, and therapy strategies were analysis retrospectively in 12 patients. Results Antibiotics and thoraentesis to drainage were administrated and the volume of pleural effusion was increased after injection of Urokinase, The side effect occurred in only 1 patient with bloody hydrothorax. 11 patients were recovered and 1 was died. Conclusion Complicated parapneumonic effusion should be diagnosis early. Thoraentesis combined with injection of Urokinase into pleural cavity was implemented to drainage completely, which would reduce the pleural thickening and avoid the operation surgery.