摘要
对40例脓胸分析结果,所有病人均来自农村,半数发生于婴幼儿,常有肺炎、佝偻病、营养不良等较严重的并存症;引起脓胸的病因虽仍以金萄葡为主,但总趋势已发生改变,革兰氏阴性杆菌已跃居笫二位,一些厌氧菌的感染也占一定比例,药敏试验结果大多金葡菌对新青霉素Ⅱ和氨基甙类抗生素敏感,治疗上除选用敏感的抗生素外,胸腔闭式引流术有较多优点,较反复胸穿抽脓好,对大多数病人适宜。
40 cases of empyema were analyzed. The result showed that all the cases were from rural areas. 50% of the empyema occured in infants and young children often with pneumonia, rickets and malnutrition. Although the main cause of the disease was staphylococcus aureus, gram-negative bacilli have leaped to the second. Some of the infection of anacrobic bacteria made up a certain portion. Drug sensitive test showed that most of the staphylococcus aureus were sensitive to oxacillin and aminoglycoside antibiotics. For treat- ment, except selectively using sensitive antibiotics, closed thoracic drai- nage was better than repeated abstraction of pus with thoracentesis, and suitable for most of the patients.
出处
《右江民族医学院学报》
1991年第1期19-22,共4页
Journal of Youjiang Medical University for Nationalities
