Mukhin E P, Izbagambetov N K, Mukushev N R
Probl Tuberk. 1992(11-12):35-7.
In contrast to the nonspecific pleural empyemas, which are managed effectively by closed methods of débridement, management of patients with tuberculous pleural empyema and bronchial fistulas requires early application of thoracostoma, which allows cavity débridement, long-term antituberculous chemotherapy and preparation to radical surgery. This was confirmed by the comparative analysis of the results of radical operations after closed and open methods of management of empyema cavity in 139 patients. The site of thoracostoma application is determined by the location and size of an abscess and the forthcoming radical operation. Long-action bandages with chlorhexidine bigluconate and ultraviolet radiation are prescribed for the débridement of open pleural empyemas.
与通过闭式清创方法可有效治疗的非特异性胸膜积脓不同，结核性胸膜积脓合并支气管瘘患者的治疗需要早期施行胸廓造口术，这有助于进行脓腔清创、长期抗结核化疗以及为根治性手术做准备。对139例脓胸腔闭式和开放处理方法后根治性手术结果的对比分析证实了这一点。胸廓造口术的施行部位由脓肿的位置和大小以及即将进行的根治性手术决定。对于开放性胸膜积脓的清创，可使用含葡萄糖酸氯己定的长效绷带并进行紫外线照射。
