摘要
应用经皮穿刺脓腔、置入细尼龙管引流和给药的方法治疗肺脓肿及局限性脓胸１６例，插管时间７～１５天，疗效满意，无并发症。该方法操作简便、安全，引流充分，创伤小，不限制病人活动。对内科治疗无效的肺脓肿，早期应用可能避免肺叶切除；对局限性脓胸是一种适应证广、可获得满意疗效的针对性治疗方法。
It was our primary purpose to simplify the surgical treatment of the lung abscess complicated with encapsulated empyema by percutaneous tube pleural draniage to promote faster recovery and reduce the suffering.During the years from l972 to l988,sixteen patients with lung abscess complicated with encapsulated empyema were treated by percutaneous insertion of a nylon tubing with a thin calibre for both pleural and lung abscess drainage,and intrapleural intracavitary injection of medicine. All patients showed prompt clinical improvement and recovered within 7 to 51 days without complication,The results of these clinical applications demonstrated that PTPD is a simple,safe and less traumatic method for treatment of lung abscess complicated with encapsulated empyema. The patients can be ambulatory during the treatment.Patients with lung abscess refractory to medical treatment might be good candidates for PTPD if local pleural adhesions were produced to prevent the possibility of intrapleural spilling.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1996年第1期18-19,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
肺脓肿
脓胸
穿刺
引流
Lung abscess
Encapsulated empyema
Percutaneous tube drainage
