Frimodt-Møller P C, Vejlsted H
Thorac Cardiovasc Surg. 1985 Feb;33(1):41-3. doi: 10.1055/s-2007-1014081.
During a 4-year period, 18 patients were treated for non-specific pleural empyema. Nine patients were treated by closed intercostal drainage and 9 by early decortication. The length of time from initial treatment until complete resolution of the empyema and healing of the wound was compared between the groups and highly favored early surgery. We conclude that if an empyema does not show signs of regression after one week of drainage, surgical intervention is indicated.
在4年期间,18例患者接受了非特异性胸膜脓胸的治疗。9例患者采用肋间闭式引流治疗,9例采用早期胸膜剥脱术治疗。比较两组患者从初始治疗到脓胸完全消退及伤口愈合的时间,结果强烈支持早期手术。我们得出结论,如果脓胸在引流一周后没有消退迹象,则应进行手术干预。