Strange C, Sahn S A
Department of Medicine, Medical University of South Carolina, Charleston.
Infect Dis Clin North Am. 1991 Sep;5(3):539-59.
Parapneumonic pleural effusions, the most common causes of exudative pleural fluid, are a frequent finding with bacterial pneumonia. Progression to empyema is related to delay in appropriate antimicrobial therapy. Once an empyema develops, therapy consists of early sterilization of the empyema space with appropriate antibiotics, early and adequate pleural space drainage, and obliteration of the empyema cavity by adequate lung expansion, surgical decortication, or enzymatic debridement.
类肺炎性胸腔积液是渗出性胸腔积液最常见的病因，在细菌性肺炎中很常见。进展为脓胸与适当抗菌治疗的延迟有关。一旦发生脓胸，治疗包括用适当的抗生素尽早使脓腔无菌化、尽早且充分地引流胸腔、通过充分的肺扩张、手术剥脱或酶促清创术消除脓腔。
