Meyerovitch J, Shohet I, Rubinstein E
Eur J Clin Microbiol. 1985 Jun;4(3):337-9. doi: 10.1007/BF02013664.
A retrospective analysis of 37 pediatric patients with pleural empyema revealed that Streptoccoccus pneumoniae was the most frequently isolated pathogen (41%), followed by Staphylococcus aureus (14%). Twenty-three patients were treated with thoracic drainage and systemic antibiotics, and the other 14 patients with antibiotics only. The case fatality ratio (11%), the complication rate (38%), the length of hospital stay, and the number of febrile days did not differ significantly between the two treatment groups. The immediate insertion of drainage tubes is probably not indicated in all children with pleural empyema but should be reserved for specific indications.
对37例小儿胸腔积脓患者的回顾性分析显示，肺炎链球菌是最常分离出的病原体（41%），其次是金黄色葡萄球菌（14%）。23例患者接受了胸腔引流和全身抗生素治疗，另外14例患者仅接受了抗生素治疗。两个治疗组的病死率（11%）、并发症发生率（38%）、住院时间和发热天数没有显著差异。对于所有胸腔积脓的儿童，可能并非都需要立即插入引流管，而应保留用于特定指征。
