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[外科感染合并肺转移性脓肿的治疗]

[Treatment of surgical infection complicated by metastatic abscesses of the lung].

作者信息

Mustafin D G

出版信息

Khirurgiia (Mosk). 1989 Sep(9):114-8.

PMID:2811147
Abstract

The clinical and X-ray features of pleuropulmonary complications of surgical sepsis are described on the basis of examination and treatment of 66 patients. Metastatic destruction of the lungs in the form of multiple abscesses and bullae prevailed in acute sepsis, extensive confluent focal pneumonia in sepsis taking a violent course, and formation of abscesses in aspiration and atelectatic pneumonias. Pleural complications occurred in 23 patients. Organization of purposeful treatment reduced mortality to 18.5%. Among 53 patients who were discharged from the clinic 48 had residual bullo-sclerotic changes in the lungs.

摘要

在对66例患者进行检查和治疗的基础上,描述了手术脓毒症胸膜肺并发症的临床和X线特征。在急性脓毒症中,以多发性脓肿和大疱形式出现的肺部转移性破坏较为常见;在病情严重的脓毒症中,广泛融合性局灶性肺炎较为常见;在吸入性肺炎和肺不张性肺炎中,则形成脓肿。23例患者出现胸膜并发症。有针对性的治疗组织将死亡率降至18.5%。在从诊所出院的53例患者中,48例肺部有残留的大疱硬化性改变。

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