肺叶切除术后和肺段切除术后脓胸。
Postpneumonectomy and postlobectomy empyema.
作者信息
Gharagozloo Farid, Margolis Marc, Facktor Matthew, Tempesta Barbara, Najam Farzad
机构信息
Washington Institute of Thoracic and Cardiovascular Surgery, The George Washington University Medical Center, 2175 K Street NW, Washington, DC 20037, USA.
出版信息
Thorac Surg Clin. 2006 Aug;16(3):215-22. doi: 10.1016/j.thorsurg.2006.05.012.
Although similar strategies are used in the management of PPE and PLE, these conditions need to be viewed as two separate entities. For the purpose of devising the appropriate management strategy, PPE should be divided into early and late, with and without mediastinal induration and extensive pleural space contamination. If at all possible, PLE should be managed as a postpneumonic empyema with prolonged chest tube drainage. The key to these conditions is prevention.
尽管在胸膜肺炎旁积液（PPE）和肺炎旁胸腔积液（PLE）的管理中使用了类似的策略，但应将这两种情况视为两个独立的实体。为了制定适当的管理策略，PPE应分为早期和晚期，有无纵隔硬结和广泛的胸膜腔污染。如果可能的话，PLE应作为肺炎后脓胸进行管理，并延长胸腔闭式引流时间。这些情况的关键在于预防。
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