Ghosh S, Chakraborty C K, Chatterjee B D
RMO-cum-Clinical Tutor (Paediatric Medicine), Dr BC Roy Memorial Hospital for Children, Calcutta.
J Indian Med Assoc. 1990 Jul;88(7):189-90.
Forty-one cases of empyema thoracis admitted in hospital during April, 1985 to August, 1987 were studied. Majority were males (65.9%) and were of less than 2 years of age (70.7%). Right side (60.9%) was predominantly involved. Abdominal distension (43.9%) was very characteristic, with other usual features like fever, cough and respiratory distress. A large majority of them were victims of malnutrition (73.2%) and anaemia (53.7%) with haemoglobin level ranging from 5-9 g/dl. Mortality was high (17.1%). Therapy with parenteral cloxacillin and gentamicin and continuous intercostal tube drainage accounted for loss of 15.8 bed days (average period of hospitalisation). Staph aureus was the principal aetiopathogen (68.3%). No anaerobe could be isolated. Strains of staphylococci were mostly resistant to penicillin and ampicillin but sensitive to gentamicin, cloxacillin and erythromycin.
对1985年4月至1987年8月期间收治入院的41例脓胸病例进行了研究。多数为男性（65.9%），年龄小于2岁（70.7%）。右侧受累为主（60.9%）。腹胀（43.9%）非常典型，还有发热、咳嗽和呼吸窘迫等其他常见症状。其中绝大多数患有营养不良（73.2%）和贫血（53.7%），血红蛋白水平在5 - 9克/分升之间。死亡率较高（17.1%）。采用静脉注射氯唑西林和庆大霉素以及持续肋间置管引流治疗导致住院日损失15.8天（平均住院时间）。金黄色葡萄球菌是主要病原体（68.3%）。未分离出厌氧菌。葡萄球菌菌株大多对青霉素和氨苄西林耐药，但对庆大霉素、氯唑西林和红霉素敏感。
