小儿肺炎合并急性脓胸治疗方法及时机的选择

Treatments and the choice of opportunity in treating pedo - pneumonia with acute pyothorax

目的 探讨小儿肺炎合并急性脓胸不同的治疗方法及时机的选择。方法回顾性分析我科自2003年9月至2007年10月收治的48例小儿肺炎合并急性脓胸的诊断、治疗及疗效。结果48例小儿肺炎合并急性脓胸治愈47例，死亡1例。抗生素治疗＋支持治疗＋胸腔穿刺治愈6例，抗生素＋支持治疗＋胸腔闭式引流治愈19例，抗生素＋支持治疗＋开胸手术治愈23例。结论对小儿肺炎合并急性脓胸的治疗要选择合适的方法，并且运用时机要洽当。

Objective To explore the different treatments and the choice of opportunity in treating pedo - pneumonia with acute pyothorax. Methods Forty - eight cases of pedo - pneumonia with acute pyothorax from Sep. 2003 to Oct. 2007 were selected in our study. We analysed the dates of their diagnoses, treatment and therapeutic effect retrospectively. Results Forty - seven cases were healed, 1 case was dead. There were 6 cases treated with antibiotics, supportive treatment and thoracentesis, 19 cases treated with antibiotics, supportive treatment and closed drainage, 23 cases treated with antibiotic, supportive treatment and operation in the cured cases. Conclusions Suitable therapy and opportunity of chose are important to treat pedo -pneumonia with acute pyothorax.