Bauer H G, Probst G, Bauer E, Vogt-Moykopf I
Chirurgische Abteilung, Thoraxklinik Heidelberg-Rohrbach.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:211-7.
In 162 patients treated surgically for pleural empyema, 212 surgical interventions were necessary. As primary treatment cest-tube drainage was more effective than closed chest tubes. Decortication, which was carried out in 43 patients, was followed by further surgical procedures in three patients. If primary treatment is not effective early decortication is indicated to avoid septic complications (30-day mortality amounted to 7.4%). Two patients died from septic complications.
在162例接受手术治疗的胸膜腔积脓患者中，需要进行212次外科手术干预。作为主要治疗方法，肋间引流管引流比闭式胸腔引流管更有效。43例患者接受了纤维板剥脱术，其中3例患者随后还进行了进一步的外科手术。如果主要治疗无效，应尽早进行纤维板剥脱术以避免感染性并发症（30天死亡率为7.4%）。两名患者死于感染性并发症。
