Bärsch J, Luther R, Preisler J, Grünewald R
Bezirkslungenklinik Lostau.
Z Gesamte Inn Med. 1988 Mar 1;43(5):119-21.
We made a retrospective analysis with regard to the bacteriology and to the therapy of all patients with pleural empyema who were treated in the district lung hospital from 1. 1. 1982-31. 12. 1986. 92 patients had a non-specific empyema, only 3 patients had a specific empyema. All patients were aspirated repeatedly with physiological saline solution instillation and antimicrobic drug instillation in the pleural cavity. This daily aspiration and lavage was successfully in 65 patients. This method was ineffective in 30 patients. We treated 7 patients of this group by the closed drainage (rubber-tube drain), in 4 patients successfully. 3 patients had to be treated by a surgical operation. An insufficient obliteration of the cavity of empyema occurred also in 23 patients of this group. A systematic daily aspiration for a longer time led to regression of the cavity in 4 cases, whereas a surgical operation was necessary in 19 patients. We consider the daily aspiration and lavage as an effective method in patients in early acute stages of empyema.
我们对1982年1月1日至1986年12月31日期间在区肺病医院接受治疗的所有胸膜脓胸患者的细菌学和治疗情况进行了回顾性分析。92例患者患有非特异性脓胸，仅3例患者患有特异性脓胸。所有患者均反复进行胸腔穿刺，并向胸腔内注入生理盐水和抗菌药物。这种每日穿刺和灌洗在65例患者中取得了成功。该方法在30例患者中无效。我们对该组中的7例患者采用闭式引流（橡胶管引流）治疗，4例成功。3例患者必须接受手术治疗。该组中还有23例患者脓腔闭合不完全。长时间进行系统性每日穿刺使4例患者的脓腔缩小，而19例患者则需要进行手术。我们认为每日穿刺和灌洗是脓胸早期急性阶段患者的一种有效方法。
