Kashin A S, Mamleev I A, Sataev V U, Gumerov A A, Paramonov V A, Vasil'eva N P
Khirurgiia (Mosk). 2009(11):38-41.
174 children of all ages with acute destructive pneumonia complicated with pleural empyema were treated during 10 ten years using videothoracoscopic method; among them 74 children were of younger age (43%). General principles of modern diagnostics and videothoracoscopic pleural cavity sanations were formulated. Ultrasonography and computer tomography of the chest carried out in younger children give possibilities for clear differential diagnostics with other diseases. Advantages of endosurgical treatment are proved. Indications for planned recurrent pleural cavity sanations were worked out.
在10年期间，采用电视胸腔镜方法治疗了174例各年龄段患有急性坏死性肺炎合并胸膜脓胸的儿童；其中74例为年幼患儿（43%）。制定了现代诊断和电视胸腔镜胸膜腔清创术的一般原则。对年幼患儿进行的胸部超声检查和计算机断层扫描为与其他疾病进行明确的鉴别诊断提供了可能。证实了外科手术治疗的优势。确定了计划性反复胸膜腔清创术的适应证。
