Raymond Daniel
Thoracic & Cardiovascular Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, J4-1, Cleveland, OH 44195, USA.
Surg Clin North Am. 2014 Dec;94(6):1283-303. doi: 10.1016/j.suc.2014.08.004. Epub 2014 Sep 29.
Multidisciplinary management of thoracic infection, including experts in thoracic surgery, pulmonology, infectious disease, and radiology, is ideal for optimal outcomes. Initial assessment of parapneumonic effusion and empyema requires computed tomographic evaluation and consideration for fluid sampling or drainage. Goals for the treatment of parapneumonic effusion and empyema include drainage of the pleural space and complete lung reexpansion. Pulmonary abscess is often successfully treated with antibiotics and observation. Surgical intervention for the treatment of fungal or tuberculous lung disease should be undertaken by experienced surgeons following multidisciplinary assessment. Sternoclavicular joint infection often requires joint resection.
胸部感染的多学科管理，包括胸外科、肺病学、传染病学和放射学方面的专家，对于实现最佳治疗效果是理想的。对肺炎旁胸腔积液和脓胸的初始评估需要进行计算机断层扫描评估，并考虑进行液体采样或引流。肺炎旁胸腔积液和脓胸的治疗目标包括胸腔引流和肺完全复张。肺脓肿通常通过抗生素治疗和观察得以成功治愈。真菌性或结核性肺病的手术干预应由经验丰富的外科医生在多学科评估后进行。胸锁关节感染通常需要进行关节切除术。
