肺炎旁胸腔积液和脓胸的外科治疗研究进展
被引量:2
摘要
肺炎患者常出现肺炎旁胸腔积液(PPE),约50%脓胸起源于PPE。PPE的治疗方法包括治疗性胸腔穿刺术,胸腔闭式引流术,纤维蛋白溶解剂胸腔内注射,胸腔镜粘连松解术,胸膜纤维板剥脱术等。PPE及脓胸的外科治疗关键在于外科干预时机的判断,及时充分引流及原发病的治疗。单纯性PPE应当及时做治疗性胸腔穿刺术;复杂性PPE或脓胸主张积极的外科治疗,以期迅速控制感染,防止转化为慢性脓胸。
出处
《临床外科杂志》
2009年第3期206-207,共2页
Journal of Clinical Surgery
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