Strange C, Sahn S A
Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology, the Medical University of South Carolina, Charleston 29425, USA.
Semin Respir Infect. 1999 Mar;14(1):3-8.
Infections of the pleural space are caused by a diverse group of clinical conditions that include trauma, post-operative states, and pneumonia. Although pleural effusions accompany bacterial pneumonia in up to 60% of patients, they uncommonly influence management because the effusion in most patients disappears with antibiotic administration. Unfortunately, the large number of patients with pneumonia provide an abundant supply of patients who fail to respond to antibiotic administration alone and subsequently present with pleural fluid loculation, pleural sepsis, or empyema. This article provides an overview of the classification schemes that have been used to characterize pleural space infections and highlight the epidemiology of those patients who present with complicated parapneumonic effusions and empyema.
胸膜腔感染由多种临床情况引起，包括创伤、术后状态和肺炎。虽然高达60%的细菌性肺炎患者会伴有胸腔积液，但这些积液很少影响治疗，因为大多数患者的积液会随着抗生素的使用而消失。不幸的是，大量肺炎患者中存在一部分患者，他们仅对抗生素治疗无反应，随后出现胸腔积液包裹、胸膜脓毒症或脓胸。本文概述了用于描述胸膜腔感染的分类方案，并着重介绍了出现复杂性类肺炎性胸腔积液和脓胸患者的流行病学情况。
