Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil.
Paediatric Department of Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil.
Paediatr Respir Rev. 2018 Mar;26:27-30. doi: 10.1016/j.prrv.2017.05.003. Epub 2017 Jun 1.
Pneumonia is an important health problem in children, and parapneumonic pleural effusion (PPE) is a frequent complication. There is no standard strategy for treating PPE, reflected in the few international guidelines that have been published on the issue. Compared to adults, there is no consensus on the utility of pleural fluid analysis in paediatric PPE. This is because of the lack of good evidence either in favour or against it and the risks of procedural sedation for acquiring pleural fluid for analysis to guide management. In this paper we provide a succinct review of the different approaches to the management of PPE, including diagnosis, pleural fluid analysis (Light's criteria) and treatment, both medical and surgical.
肺炎是儿童的一个重要健康问题，而肺炎旁胸腔积液（PPE）是一种常见的并发症。目前针对 PPE 还没有标准的治疗策略，这反映在少数已发表的国际指南中。与成人相比，在儿童 PPE 中，胸腔积液分析的作用尚无共识。这是因为无论是支持还是反对胸腔积液分析来指导管理的证据都不足，而且获取胸腔积液进行分析的程序镇静也存在风险。在本文中，我们简要回顾了 PPE 的不同管理方法，包括诊断、胸腔积液分析（Light 标准）和治疗，包括药物治疗和手术治疗。
