University of Global Health Equity Kigali Heights, Plot 772, KG 7 Avenue, 5th floor, PO Box 6955, Kigali, Rwanda; Addis Ababa University, School of Medicine, Addis Ababa, Ethiopia.
University of Global Health Equity Kigali Heights, Plot 772, KG 7 Avenue, 5th floor, PO Box 6955, Kigali, Rwanda; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Thorac Surg Clin. 2022 Aug;32(3):361-372. doi: 10.1016/j.thorsurg.2022.02.004.
Most cases of empyema thoracis are sequelae of severe pneumonia, but chest trauma and complications of chest tube insertion as cause are not uncommon in low-resource settings. Diagnosis is usually delayed due to delayed presentation to health care facilities, low index of suspicion among health care professionals, and inability to properly stage the disease with the available diagnostic tools. Early use of antibiotics and appropriate-sized and well-placed chest tube drainage is associated with good outcomes at a decreased cost. Surgical management of empyema thoracis is indicated when chest tube drainage and antibiotic treatment fail to achieve complete resolution.
大多数脓胸是严重肺炎的后遗症，但在资源匮乏的环境中，胸部创伤和胸管插入的并发症并不少见。由于就诊时间延迟、医护人员怀疑意识低以及无法使用现有诊断工具正确分期疾病，导致诊断通常会延迟。早期使用抗生素和大小及位置合适的胸管引流可降低成本，获得良好的结果。如果胸管引流和抗生素治疗未能完全解决问题，则需要进行脓胸的手术治疗。
