Polianskiĭ V K, Savitskiĭ G G
Voen Med Zh. 2007 Apr;328(4):28-31, 96.
333 patients with chronic tuberculous empyema were treated in the Central Military Clinical Tuberculous Hospital N 4. Among them there were 325 (97,6%) men and 8 (2,4%) women. The patients' age varied from 18 to 87 years. The main causes of empyema development were the following: the exudative pleurisy--in 179 (53,8%) cases, the complications of lung resection--in 69 (20,7%), the ineffective artificial pneumothorax--in 50 (15,0). In 34 (10,2%) patients the empyema was the result of spontaneous pneumothorax and in 1 (0,3%) patient it developed due to generalization of tuberculosis of extra-pulmonary localization. The treatment was based on extensive surgical interventions performed in patients during the stable and subacute phases of pathologic process. It allowed achieving the good results in 89,2% and satisfactory results--in 9,9% patients.
第4中央军事临床结核病医院对333例慢性结核性脓胸患者进行了治疗。其中男性325例（97.6%），女性8例（2.4%）。患者年龄在18岁至87岁之间。脓胸形成的主要原因如下：渗出性胸膜炎——179例（53.8%），肺切除术后并发症——69例（20.7%），人工气胸无效——50例（15.0%）。34例（10.2%）患者的脓胸是自发性气胸所致，1例（0.3%）患者的脓胸是由于肺外结核播散引起。治疗基于在病理过程的稳定期和亚急性期对患者进行广泛的外科干预。89.2%的患者取得了良好效果，9.9%的患者取得了满意效果。
