45例脓胸外科治疗分析

Analysis on Surgical Treatment of Empyema in 45 Cases

目的探讨脓胸外科治疗的效果。方法 45例脓胸均采用手术治疗,方法包括:胸腔闭式引流术、病灶及坏死组织清除手术,胸膜纤维板剥除手术,使被压缩的肺组织充分膨胀。结果 45例病人全部治愈,随访1年无复发。结论手术方法治疗脓胸效果可靠,预后好,应尽早实施。

Objective To explore the efficacy of surgical resection in empyema. Methods 45 patients with empyema were treated by operation including closed thoracic drainage, surgical clearance of lesions and necrotic tissue, stripped pleural fibreboard to make the compressed lung fully expanded. Results All 45 patients were cured and no empyema recurred at 1 year follow-up. Conclusions Surgical resection has reliable effect and good prognosis in treament of empyema, which should be taken as early as possible.