Menon Prema, Kanojia Ravi Prakash, Rao K L N
Department of Pediatric Surgery, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Indian Assoc Pediatr Surg. 2009 Jul;14(3):85-93. doi: 10.4103/0971-9261.57698.
Empyema thoracis can produce significant morbidity in children if inadequately treated. Correct evaluation of the stage of the disease, the clinical condition of the child and proper assessment of the response to conservative treatment is crucial in deciding the mode of further surgical intervention. This ranges from intercostal chest tube drainage and video-assisted thoracoscopic surgery to open decortication. Surgical decortication becomes mandatory in neglected cases; it gives very gratifying results ameliorating the disease rapidly and is well tolerated by young patients. This article reviews the current literature and discusses the important considerations while managing these patients. Indications for surgery are highlighted, based on our large experience at a tertiary care center.
如果治疗不当，小儿脓胸可导致严重的发病情况。正确评估疾病阶段、患儿临床状况以及对保守治疗反应的恰当评估，对于决定进一步手术干预方式至关重要。这包括肋间胸腔闭式引流、电视辅助胸腔镜手术以及开胸纤维板剥脱术。在被忽视的病例中，手术纤维板剥脱术成为必要手段；它能迅速改善病情，取得非常令人满意的效果，且年轻患者耐受性良好。本文回顾了当前文献，并讨论了管理这些患者时的重要注意事项。基于我们在三级医疗中心的丰富经验，突出了手术适应症。
