结核性脓胸的外科治疗进展

The Progress in Surgical Treatment of Tuberculous Empyema

结核性脓胸是一种慢性消耗性疾病,病史较长,病情较复杂,在不同的阶段需要采取不同的临床手段,若治疗不积极或处理方式不对,容易出现各式各样的并发症。结核性脓胸早期阶段即渗出期,结核性脓胸需要进行胸腔闭式引流及胸腔注药溶解纤维素治疗,而一旦进入纤维脓液期和纤维机化期脓胸阶段,或出现结核性脓胸外穿及支气管胸膜瘘等并发症时大多需要外科手术干预。在结核性脓胸的不同阶段采取相适应的手术方式会使患者获得较大收益。

Tuberculous empyema is a chronic wasting disease with a long history and complex condition.Different clinical methods need to be adopted at different stages.If the treatment is not active or the treatment is not correct,various complications are easy to occur.The early stage of tuberculous empyema,namely the exudative stage,requires thoracic closed drainage and pleural injection to dissolve cellulose.However,once access the stage of fibrous empyema and fibrous mechanical empyema or the complications of tuberculous empyema external and bronchopleural fistula occur,most of them require surgical intervention.In different stages of tuberculous empyema,patients can get more benefits by adopting appropriate surgical methods.