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肺炎克雷伯菌所致脓胸

Empyema due to Klebsiella pneumoniae.

作者信息

Reid J M, Barclay R S, Stevenson J G, Welsh T M, McSwan N

出版信息

Thorax. 1967 Mar;22(2):170-5. doi: 10.1136/thx.22.2.170.

DOI:10.1136/thx.22.2.170
PMID:6040653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC471602/
Abstract

Three cases of post-pneumonic empyema due to infection with are reported. All were men considerably debilitated by complicating factors. The presence of persistent fistulae and of lung necrosis makes eradication of this infection very difficult and tedious, and in the management of these cases the objective is to secure adequate removal of necrotic tissue, effective drainage, and finally a satisfactory deroofing procedure to obliterate the empyema cavity.

摘要

报告了3例因感染[具体病原体未给出]导致的肺炎后脓胸病例。所有患者均为男性,因并发因素而身体极度虚弱。持续性瘘管和肺坏死的存在使得根除这种感染非常困难且繁琐,在这些病例的治疗中,目标是确保充分清除坏死组织、有效引流,最终进行令人满意的去顶手术以消除脓胸腔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/2d902ab2c1be/thorax00092-0078-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/35cade14e2af/thorax00092-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/aae41e41ab37/thorax00092-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/c06ca3a79cae/thorax00092-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/4312dd2a5869/thorax00092-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/527459d32878/thorax00092-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/2d902ab2c1be/thorax00092-0078-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/35cade14e2af/thorax00092-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/aae41e41ab37/thorax00092-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/c06ca3a79cae/thorax00092-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/4312dd2a5869/thorax00092-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/527459d32878/thorax00092-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb47/471602/2d902ab2c1be/thorax00092-0078-a.jpg

相似文献

1
Empyema due to Klebsiella pneumoniae.肺炎克雷伯菌所致脓胸
Thorax. 1967 Mar;22(2):170-5. doi: 10.1136/thx.22.2.170.
2
[Treatment of pleural empyema associated with bronchopleural fistula using drainage and continuous lavage].[采用引流及持续灌洗治疗与支气管胸膜瘘相关的胸膜脓胸]
Acta Chir Iugosl. 1980;27 Suppl 1:147-50.
3
Open thoracostomy drainage of postpneumonectomy empyema with bronchopleural fistula.
J Thorac Cardiovasc Surg. 1973 Dec;66(6):979-81.
4
[Clinical significance of omental pedicle flap closure method in chronic empyema with bronchopleural fistula].带蒂大网膜瓣闭合术在慢性脓胸合并支气管胸膜瘘中的临床意义
Nihon Kyobu Geka Gakkai Zasshi. 1988 Aug;36(8):1255-63.
5
Empyema after pneumonectomy.肺切除术后脓胸
Ann Thorac Surg. 1973 Jun;15(6):615-21. doi: 10.1016/s0003-4975(10)65354-4.
6
[A case of empyema with bronchopleural fistula associated with diabetes and renal failure treated utilizing omental and muscle flap].[1例合并支气管胸膜瘘的脓胸患者伴糖尿病和肾衰竭,采用大网膜和肌瓣治疗]
Nihon Kyobu Geka Gakkai Zasshi. 1993 Sep;41(9):1586-9.
7
[A case of empyema with a bronchopleural fistula treated by a pedicle muscle flap with the thick parietal pleura].[1例采用带蒂肌瓣加肥厚脏层胸膜治疗的脓胸合并支气管胸膜瘘]
Nihon Geka Gakkai Zasshi. 1997 Jun;98(6):576-9.
8
[Thoracic empyema. Focus on bacteriology and therapy].[胸腔积脓。关注细菌学与治疗]
Acta Chir Belg. 1985 Mar-Apr;85(2):79-88.
9
Letter: Carcinoma of the chest wall complicating chronically draining empyema.信函:胸壁癌并发慢性脓胸引流
Chest. 1973 Nov;64(5):673-4. doi: 10.1378/chest.64.5.673-a.
10
Slow suction by drip method in empyema thoracis: a simple, effective, and no cost device.胸腔积液的滴注法缓慢吸引:一种简单、有效且无成本的装置。
J Assoc Physicians India. 1984 Jun;32(6):498-9.

本文引用的文献

1
Treatment of Friedlander's pneumonia.弗氏肺炎的治疗
Am J Med Sci. 1951 Jan;221(1):5-9. doi: 10.1097/00000441-195101000-00002.
2
EMPYEMA THORACIS.脓胸
Br J Surg. 1965 Feb;52:89-99. doi: 10.1002/bjs.1800520205.
3
KLEBSIELLA PNEUMONIA. A REVIEW OF FORTY-FIVE AND RE-EVALUATION OF THE INCIDENCE AND ANTIBIOTIC SENSITIVITIES.肺炎克雷伯菌。45例病例回顾及发病率与抗生素敏感性的重新评估
Dis Chest. 1964 Nov;46:599-606. doi: 10.1378/chest.46.5.599.
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Klebsiella pneumonia with pneumothorax, pneumomediastinum and pneumoperitoneum.
Dis Chest. 1963 May;53:546-50. doi: 10.1378/chest.43.5.546.
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The value of chloromycetin succinate used topically in intrathoracic suppuration.局部使用琥珀氯霉素在胸腔化脓中的价值。
Br J Dis Chest. 1961 Oct;55:216-9. doi: 10.1016/s0007-0971(61)80067-3.
6
Pneumonia in hospital practice.医院实践中的肺炎
Br J Dis Chest. 1961 Jul;55:109-18. doi: 10.1016/s0007-0971(61)80105-8.
7
Friedländer bacillus infection of the lung; with special reference to classification and pathogenesis.肺部弗里德兰德杆菌感染;特别涉及分类与发病机制
Q J Med. 1956 Oct;25(100):507-21.
8
An evaluation of twenty-two patients with acute and chronic pulmonary infection with Friedländer's bacillus.对22例由弗里德兰德氏杆菌引起的急慢性肺部感染患者的评估。
Ann Intern Med. 1956 Jun;44(6):1070-81. doi: 10.7326/0003-4819-44-6-1070.