Jeong M P, Kim W S, Han S K, Shim Y S, Kim K Y, Han Y C
Korean J Intern Med. 1989 Jan;4(1):54-8. doi: 10.3904/kjim.1989.4.1.54.
The use of the fiberoptic bronchoscope as a drainage procedure for lung abscess has become more and more widespread. We have recently adopted the technique of inserting a simple polyethylene catheter through the flexible fiberoptic bronchoscope into the abscess cavity of 11 patients with lung abscess. All cases had not responded to aggressive postural drainage and adequate antibiotic therapy for at least a week. The results were as follows: 1) Among 11 patients, the therapeutic response was dramatic in 6 patients. 2) In the successful group, the abscess sizes were greater than 8cm in diameter and the airfluid levels were higher than two-thirds of the cavity. 3) Additional diagnoses, other than bacterial lung abscess, could be made in 2 cases when otherwise the diagnosis would have remained in doubt. The authors suggest that catheter drainage via fiberoptic bronchoscope is an effective treatment modality in the large lung abscess with a high air-fluid level which is intractable to other medical approaches, and it is also a safe procedure.
将纤维支气管镜用作肺脓肿的引流方法已越来越普遍。我们最近采用了通过可弯曲纤维支气管镜将一根简单的聚乙烯导管插入11例肺脓肿患者脓肿腔的技术。所有病例对积极的体位引流和充分的抗生素治疗至少一周均无反应。结果如下：1）11例患者中，6例治疗反应显著。2）在成功组中，脓肿直径大于8cm，气液平面高于腔隙的三分之二。3）2例患者除细菌性肺脓肿外还做出了其他诊断，否则诊断仍会存疑。作者认为，对于气液平面高且其他治疗方法难以处理的大肺脓肿，经纤维支气管镜导管引流是一种有效的治疗方式，也是一种安全的操作。
