Kanzaki M, Obara T, Ohtsuka T, Yamamoto H, Sasano S, Onuki T
Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.
Kyobu Geka. 2002 Nov;55(12):1001-3; discussion 1004-5.
Basic principles apply to the management of all forms of acute empyema: investigation and treatment of the underlying infection, drainage of purulent collection, obliteration of the space, and treatment of the associated intercurrent medical conditions. From July 1999 to May 2001, we performed surgical treatment in 11 patients for acute empyema. There were 4 cases of the fibrinopurulent phase and 7 cases of the organizing phase. Surgical procedure was 7 open thoracotomies and 4 thoracoscopies. The mean operating time was 154.2 +/- 36.6 minutes and blood loss during surgery was 344.7 +/- 274.8 ml. There was no procedure-related morbidity. In conclusion, early aggressive surgical approach is a feasible method for treatment of acute empyema.
对潜在感染进行调查和治疗、引流脓性积液、消除胸腔空间以及治疗相关的并发内科疾病。1999年7月至2001年5月，我们对11例急性脓胸患者进行了手术治疗。其中纤维脓性期4例，机化期7例。手术方式为7例开胸手术和4例胸腔镜手术。平均手术时间为154.2 +/- 36.6分钟，术中失血344.7 +/- 274.8毫升。无手术相关并发症。总之，早期积极的手术方法是治疗急性脓胸的可行方法。
