Cordier J F, Philit F
Rev Prat. 1989 Jun 8;39(18):1586-91.
Lung abscess and empyema are rare in healthy people. They usually occur when such predisposing factors as alcoholism, diabetes mellitus, immunodepression, neurological disorders, previous chest surgery and bronchial stenosis are present. Evacuation of pus and antibiotic therapy form the basis of treatment. Anaerobic bacteria are the most common causative agents, and they are particularly suspected in patients with putrid sputum or pleural fluid. The penicillin-metronidazole combination is used in these anaerobic infections. In every case, a careful search for the responsible organism has to be made in order to choose the best antibiotic.
肺脓肿和脓胸在健康人群中较为罕见。它们通常在存在酗酒、糖尿病、免疫抑制、神经疾病、既往胸部手术及支气管狭窄等易感因素时发生。脓液引流和抗生素治疗是治疗的基础。厌氧菌是最常见的病原体，在痰液或胸腔积液有恶臭的患者中尤其可疑。在这些厌氧菌感染中使用青霉素 - 甲硝唑联合用药。在每种情况下，都必须仔细寻找致病微生物，以便选择最佳的抗生素。
