改良克莱杰特手术对耐甲氧西林金黄色葡萄球菌性肺切除术后脓胸有效：一例报告
Modified Clagett Procedure Is Effective for Methicillin-Resistant Staphylococcus aureus Postpneumonectomy Empyema: A Case Report.
作者信息
Welter Stefan, Kampe Sandra, Dziobaka Jan, Chalvatzoulis Eleftherios, Zahin Mahmood, Roesel Christian, Stamatis Georgios
机构信息
Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West-German Lung Center, University Hospital, University of Duisburg-Essen, Germany.
Department of Anesthesiology, Ruhrlandklinik, West-German Lung Center, University Hospital, University of Duisburg-Essen, Germany.
出版信息
World J Oncol. 2014 Aug;5(4):178-180. doi: 10.14740/wjon822w. Epub 2014 Aug 25.
Postpneumonectomy empyema (PPE) with methicillin-resistant (MRSA) is a challenging problem because these germs have extensive virulence factors and mechanisms to escape from the host's immune system. The present case was successfully treated with accelerated repeated surgical debridement, vancomycin gauze packing and final obliteration of the postpneumonectomy space with latissimus myoplasty and vancomycin solution.
耐甲氧西林金黄色葡萄球菌（MRSA）所致的肺切除术后脓胸（PPE）是一个具有挑战性的问题，因为这些病菌具有广泛的毒力因子和逃避宿主免疫系统的机制。本病例通过加速重复手术清创、万古霉素纱布填塞以及最终采用背阔肌成形术和万古霉素溶液封闭肺切除术后胸腔而成功治愈。
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