Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Ann Thorac Med. 2012 Jan;7(1):3-7. doi: 10.4103/1817-1737.91552.
Most lung abscesses (80-90%) are now successfully treated with antibiotics; however, this conservative approach may occasionally fail. When medical treatment fails, pulmonary resection is usually advised. Alternatively, percutaneous transthoracic tube drainage or endoscopic drainage can be considered, though both remain controversial. In this communication, the medical literature focusing on percutaneous tube drainage efficacy, indications, techniques, complications, and mortality, as well as available data regarding endoscopic drainage are reviewed.
大多数肺脓肿(80-90%)现在可以通过抗生素成功治疗;然而,这种保守方法偶尔可能会失败。当药物治疗失败时,通常建议进行肺切除术。或者,可以考虑经皮经胸导管引流或内镜引流,但这两种方法仍存在争议。在本通讯中,回顾了医学文献中关于经皮导管引流疗效、适应证、技术、并发症和死亡率的内容,以及关于内镜引流的可用数据。