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右侧结肠部分切除术治疗盲肠扭转术后脓胸。

empyema after right hemicolectomy for caecal volvulus.

机构信息

General Surgery, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA

General Surgery, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.

出版信息

BMJ Case Rep. 2023 Dec 21;16(12):e256551. doi: 10.1136/bcr-2023-256551.

Abstract

Empyema of the lung is an infection-induced collection of fluid in the chest cavity. is a bacterium that inhabits the intestine and is a rare cause of empyema after abdominal surgery. A slow phase of infection, associated with empyema, has previously been reported in cases of similar infections. Herein, we present a case of empyema following abdominal surgery. The empyema was initially managed using oxygen supplementation, fluid drainage and antibiotic therapy.This initial therapy failed in the present case because multiple collections of infected fluid prevented the lungs from expanding, requiring decortication, a pulmonary operation to remove the inflammatory tissue from the walls of the lung and associated with the infection, to allow the lung to expand. Following this operation, the patient recovered baseline levels of breathing and oxygen supplementation.

摘要

肺脓肿是一种感染引起的胸腔积液。为一种栖息在肠道中的细菌,是腹部手术后发生肺脓肿的罕见病因。先前有报道称,在类似感染病例中,存在与脓肿相关的感染缓慢期。在此,我们报告 1 例腹部手术后发生的脓肿。脓肿最初采用氧疗、引流和抗生素治疗进行治疗。本病例中,初始治疗失败,因为多处感染性积液妨碍了肺部扩张,需要行开胸术(一种切除肺部和感染相关的发炎组织的肺部手术),以允许肺部扩张。手术后,患者的呼吸和氧疗恢复至基线水平。

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本文引用的文献

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empyema in a patient with metastatic squamous cell carcinoma of the lung.一名肺转移性鳞状细胞癌患者发生脓胸。
Int J Crit Illn Inj Sci. 2018 Apr-Jun;8(2):104-106. doi: 10.4103/IJCIIS.IJCIIS_51_17.
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A Rare Case of Spontaneous Empyema by .一例罕见的自发性脓胸病例,作者为…… (原文此处不完整)
Case Rep Infect Dis. 2018 Jan 8;2018:2791349. doi: 10.1155/2018/2791349. eCollection 2018.
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Spontaneous bacterial empyema in a cirrhotic patient due to Clostridium perfringens: case report and review of the literature.
Gastroenterol Hepatol. 2013 Feb;36(2):69-71. doi: 10.1016/j.gastrohep.2012.04.007. Epub 2012 Jun 29.
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Clostridial pleuropulmonary infection.梭菌性胸膜肺部感染
Chest. 1980 Oct;78(4):622-5. doi: 10.1378/chest.78.4.622.

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