Sinzobahamvya N, Ikeogu M O, Zaal D A
Mpilo Central Hospital, Bulawayo, Zimbabwe.
Trans R Soc Trop Med Hyg. 1988;82(1):160-3. doi: 10.1016/0035-9203(88)90296-9.
The management of 25 children with empyema thoracis in Zimbabwe is discussed. The method adopted in 21 of these children using simple drainage and continuous irrigation with 0.1% solution of povidone iodine compared well with more aggressive methods. The method can be carried out easily in a rural environment. 2 of these 21 children died, one because of aspiration. The results among the survivors were good - excellent in 14 of the 21 children and fair in 2. There were no side effects attributable to the povidone iodine. The method failed in 3 patients who had to be dealt with surgically. Staphylococcus aureus was the commonest organism responsible for empyema.
本文讨论了津巴布韦25例脓胸患儿的治疗情况。其中21例患儿采用单纯引流及0.1%聚维酮碘持续冲洗的方法，与更激进的治疗方法相比效果良好。该方法在农村环境中易于实施。这21例患儿中有2例死亡，1例死于误吸。幸存者的治疗效果良好——21例患儿中有14例为优，2例为中。未发现聚维酮碘引起的副作用。该方法在3例患者中失败，这3例患者不得不接受手术治疗。金黄色葡萄球菌是导致脓胸最常见的病原体。
