Matarese Alessandro, Tamburrini Mario, Desai Unnati, Zuccon Umberto
Department of Clinical Medicine and Surgery, Section of Respiratory Disease, University Federico II, Monaldi Hospital, Naples.
Monaldi Arch Chest Dis. 2020 Mar 6;90(1). doi: 10.4081/monaldi.2020.1214.
Lung abscess is defined as the necrosis of lung tissue with cavity formation due to varied etiology. The treatment of lung abscesses is medical involving antibiotics and chest physiotherapy. The failure of medical line of management requires an invasive surgical or percutaneous approach for drainage and control of infection. While the literature is ample regarding the surgical approach, it is rather scarce on the percutaneous approach. The percutaneous drainage has been most studied with computed tomography guidance. With our case series we describe to the treatment of lung abscesses non-responsive to medical management, by a bedside minimally invasive ultrasound or fluoroscopy guided percutaneous drainage approach.
肺脓肿是指由于多种病因导致肺组织坏死并形成空洞。肺脓肿的治疗以药物治疗为主，包括使用抗生素和胸部物理治疗。药物治疗失败时，则需要采用侵入性手术或经皮穿刺方法进行引流和控制感染。虽然关于手术治疗方法的文献很多，但关于经皮穿刺方法的文献却相当稀少。经皮穿刺引流在计算机断层扫描引导下的研究最为广泛。通过我们的病例系列，我们描述了通过床边微创超声或荧光透视引导下的经皮穿刺引流方法，来治疗对药物治疗无反应的肺脓肿。
