Holmberg D L
Vet Clin North Am Small Anim Pract. 1979 May;9(2):357-62. doi: 10.1016/s0195-5616(79)50040-0.
Pyothorax is a serious disease process which requires both medical and surgical intervention. Late recognition, management problems, and likely recurrence make successful treatment difficult and often frustrating. Aims of therapy should be to avoid undue stress to the patient, to relieve respiratory distress by thoracocentesis, to eliminate infectious agents with antimicrobials, to remove pleural exudate, and to provide supportive care. Close monitoring of the patient is necessary to prevent iatrogenic complications such as pneumothorax, hemothorax, hypothermia, or hypoproteinemia. Exploratory thoracotomy for removal of granulomatous material and fibroelastic pleural "peels" is occasionally necessary to resolve compressive cardiopulmonary lesions.
脓胸是一种严重的疾病过程，需要医学和外科干预。识别延迟、管理问题以及可能的复发使得成功治疗变得困难且常常令人沮丧。治疗的目标应该是避免给患者造成过度压力，通过胸腔穿刺术缓解呼吸窘迫，用抗菌药物消除感染病原体，清除胸腔积液，并提供支持性护理。密切监测患者以预防医源性并发症，如气胸、血胸、体温过低或低蛋白血症。偶尔需要进行 exploratory thoracotomy（此处英文有误，应为 Exploratory thoracotomy，即剖胸探查术）来清除肉芽肿性物质和纤维弹性胸膜“剥脱物”，以解决压迫性心肺病变。
