Department of Paediatric Surgery, Royal Manchester Children's Hospital, Manchester, UK.
Pediatr Pulmonol. 2013 Jun;48(6):617-21. doi: 10.1002/ppul.22649. Epub 2012 Aug 21.
The incidence of necrotizing pneumonia and empyema complicated by bronchopleural fistula is rising. We describe the case of a 2-year-old boy who presented with empyema thoracis and necrotizing pneumonia who developed a bronchopleural fistula. At initial thoracotomy for decortication, necrotic lung was found and resected. He subsequently underwent further thoracotomy, prolonged chest tube drainage and endobronchial glue application attempts to close a bronchopleural fistula. The fistula was only sealed at third thoracotomy and completion pneumonectomy. This case highlights the potential challenges faced when dealing with air leaks in the setting of infection and we discuss the treatment options available.
坏死性肺炎和脓胸并发支气管胸膜瘘的发病率正在上升。我们描述了一例 2 岁男孩，他患有脓胸和坏死性肺炎，并发支气管胸膜瘘。初次行胸廓切开术行去皮质术时，发现并切除了坏死的肺。随后他再次接受了胸廓切开术、长时间的胸腔引流管和支气管内胶应用尝试以关闭支气管胸膜瘘。第三次胸廓切开术和全肺切除后，瘘才得以封闭。本病例强调了在感染情况下处理空气漏出时可能面临的挑战，并讨论了可用的治疗选择。
