摘要
儿童感染性胸腔积液指任何感染引起的胸腔积液,其常见病原体包括细菌、支原体以及结核。儿童感染性胸腔积液的治疗包括一般治疗、相关抗感染药物(包括抗生素或者抗结核药物)、胸腔穿刺或者引流、联合使用纤溶激活物、电子胸腔镜以及开胸手术(胸膜纤维板剥脱术、改良胸廓成形术、胸膜肺切除术)等。该文综合近年来相关文献,对以上治疗方法的适应证、疗效以及预后作一综述。
Children's infected pleural effusion refers to any of the pleural effusions caused by intection, the common pathogens include bacterium, mycoplasma and bacillus tuberculosis. The treatments of pleural effu- sion are general treatment, anti-infection drugs ( including antibiotics or antituberculosis drugs), thoracic puncture drainage,or combination of plasminogen-activator, electronic thoracoscopy (video-assisted thoracic surgery, VATS) and thoracic surgery ( pleural decortication, modified thoracoplasty surgery, pleural pneumonectomy). This article reviews recent progress in each method of treatments about the indications, effects and prognosis of the disease.
出处
《国际儿科学杂志》
2015年第4期413-416,共4页
International Journal of Pediatrics
关键词
胸腔积液
抗生素
胸腔引流
纤溶激活物
手术
Pleural effusion
Antibiotics
Drainage
Plasminogen activator
Surgery