Suzuki Takashi
Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.
Kyobu Geka. 2005 Jul;58(8 Suppl):714-7.
Many cases of the lung abscess of the elderly ages are the outcome of aspiration pneumonia attributable to miss-swallowing. These cases basically have the risky conditions of repeated miss-swallowing such as cerebrovascular diseases, regurgitation from stomach to esophagus and so on. Even if the infected lung tissues were resected completely, habitual miss-swallowing can produce the aspiration pneumonia or lung abscess again. Non-surgical therapy is superior for the lung abscess caused by miss-swallowing. The group of the lung abscess due to lung cancer requires the surgery because other treatments can not cure the severe inflammation. This surgery aims primarily the recovery from infected condition of the lung, and sometimes the curative resection is impossible. The prognosis of the group is not always good. The lung abscess often accompanies severe adhesion to the thoracic wall due to inflammation, consequently the surgeons are obliged to stressful surgery with bleeding and a long time.
许多老年肺脓肿病例是误吸性肺炎的结果,归因于吞咽失误。这些病例基本上存在反复吞咽失误的风险状况,如脑血管疾病、胃食管反流等。即使将感染的肺组织完全切除,习惯性吞咽失误仍可再次引发误吸性肺炎或肺脓肿。对于因吞咽失误导致的肺脓肿,非手术治疗更为可取。肺癌所致肺脓肿组则需要手术治疗,因为其他治疗方法无法治愈严重炎症。该手术主要目的是使肺部感染状况恢复,有时无法进行根治性切除。该组患者的预后并非总是良好。肺脓肿常因炎症而与胸壁严重粘连,因此外科医生不得不进行有出血且耗时较长的高压力手术。