Yaacob I, Ariffin Z
Department of Medicine, Hospital Universiti Sains Malaysia, Kelantan.
Singapore Med J. 1991 Feb;32(1):63-6.
The case histories of 22 patients with lung abscess and empyema presenting to Hospital University Sains Malaysia (HUSM) between 1984 and 1989 are reviewed. The presenting features of both lung abscess and empyema were similar. The commonest predisposing factor was pneumonia, and the commonest organism isolated was Staphylococcus aureus but in the majority of cases, no causal organisms were identified. All the patients were treated with antibiotics and in addition, closed chest tube drainage was performed initially in all patients with empyema. Three patients with empyema required additional surgical drainage procedures. Death occurred in one patient with empyema and in one patient with lung abscess. The features, aetiology, treatment and outcome of thoracic empyema and lung abscess are discussed.
回顾了1984年至1989年间在马来西亚理科大学医院（HUSM）就诊的22例肺脓肿和脓胸患者的病历。肺脓肿和脓胸的临床表现相似。最常见的诱发因素是肺炎，分离出的最常见病原体是金黄色葡萄球菌，但在大多数病例中，未鉴定出致病病原体。所有患者均接受了抗生素治疗，此外，所有脓胸患者最初均进行了闭式胸腔引流。3例脓胸患者需要额外的手术引流程序。1例脓胸患者和1例肺脓肿患者死亡。讨论了胸腔脓胸和肺脓肿的特征、病因、治疗及结果。
