Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Thorac Surg Clin. 2012 Aug;22(3):325-32. doi: 10.1016/j.thorsurg.2012.05.005.
Nowadays, antibiotic and antifungal therapy is effective in treating some of the infections that can involve the lung parenchyma in a localized manner, such as bacterial abscess and infection with nonresistant tuberculosis strains. However, other localized pulmonary infections, for example aspergilloma and mucormycosis, are highly resistant to nonsurgical therapy, and in these diseases there are no generally successful options that do not include surgical resection. This article reviews the indications for surgical intervention in the treatment of common infections involving the lung, and also focuses on the general approaches to their management.
如今,抗生素和抗真菌疗法在治疗某些局部累及肺实质的感染方面是有效的,例如细菌性脓肿和非耐药结核分枝杆菌感染。然而,其他局部性肺部感染,例如曲霉肿和毛霉菌病,对抗非手术治疗高度耐药,在这些疾病中,不包括手术切除,没有普遍有效的治疗方法。本文回顾了手术干预治疗常见肺部感染的适应证,并重点介绍了这些感染的一般处理方法。