纤维性板剥脱术治疗小儿脓胸5例体会

Experience with a Decortication for 5 Children Cases with Empyema

本文报告纤维组织板剥脱术治疗小儿脓胸5例。全组病例均经抗炎治疗及多次胸穿和胸腔闭武引流术,但效果不佳,经纤维板剥脱术后,5例全部治愈。随访10个月～4年(平均32个月),全部病例恢复良好,肺脏完全膨胀,胸廓畸形及脊柱侧弯完全纠正。作者认为,对小儿脓胸,如穿刺及引流效果不佳,应及早行胸膜纤维板剥脱术,以促使肺复张,恢复肺功能。

5 eases with empyema in children were treated through a decortieation procedure. All the eases had been treated by needle aspiration and closed thoracostomy tube drainage. The results were not satisfactory. The 5 cases were all cured throug a decortieation. Followed—up ten months to 4 years(mean32 months), all the patients are exellent. The Lungs were expanded satisfactorily. We believe that if the result is not satisfactory through needle aspiration or drainage, thoracic and spinal deformity has formed, a decortieation should be performed. It is important to perform a decortication for reexpanding the lung and recovering the pulmonary function, correcting the thoracic and spinal deformity.