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一名六个月大女童的坏死性脓胸。

Empyema necessitans in a six-month-old girl.

作者信息

Goussard P, Gie Robert, Janson Jacques, Andronikou Savvas

机构信息

a Department of Paediatrics and Child Health , Stellenbosch University, Tygerberg Children's Hospital , Cape Town , South Africa.

b Department of Cardiothoracic Surgery , Stellenbosch University, Tygerberg Children's Hospital , Cape Town , South Africa.

出版信息

Paediatr Int Child Health. 2019 Aug;39(3):224-226. doi: 10.1080/20469047.2018.1471437. Epub 2018 May 23.

DOI:10.1080/20469047.2018.1471437
PMID:29790830
Abstract

Empyema necessitans is a rare complication of acute bacterial pneumonia, especially in children. It is a complication of empyema characterised by the extension of pus from the pleural cavity into the thoracic wall to form a mass of purulent fluid in the adjacent soft tissue. An inflammatory chest wall mass following pneumonia caused by in a six-month-old infant is reported. The case emphasises that children presenting with persistent fever and a painful chest wall mass following pneumonia should be investigated immediately as there might be an urgent need for surgery.

摘要

胸壁积脓是急性细菌性肺炎的一种罕见并发症,在儿童中尤为常见。它是脓胸的一种并发症,其特征是脓液从胸腔延伸至胸壁,在邻近软组织中形成脓性肿块。本文报道了一例六个月大婴儿因肺炎引发的炎性胸壁肿块。该病例强调,肺炎后出现持续发热和胸壁疼痛性肿块的儿童应立即接受检查,因为可能急需手术治疗。

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