Bisenkov L N, Nemchenko V I, Kochetkov A V
Vestn Khir Im I I Grek. 1988 Mar;140(3):108-12.
Closed active sanitation of the pleural cavity with the local application of proteolytic enzymes and antibiotics in rational general therapy allowed to cure more than half of the patients with pleural empyema of a traumatic origin. An insufficient effect of drainage results in wide thoracotomy being necessary. The most adequate operation is pleurectomy and decortication contributing to complete expansion of the lung and preservation of its functional capacities.
在合理的综合治疗中，通过局部应用蛋白水解酶和抗生素对胸腔进行封闭性主动清洁，使超过一半的创伤性胸膜脓胸患者得以治愈。引流效果不佳会导致有必要进行广泛的开胸手术。最适当的手术是胸膜切除术和纤维板剥脱术，这有助于肺的完全复张并保留其功能。
