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热带地区儿童的脓胸

Empyema in children in tropics.

作者信息

Khan A A, Gupta B M, Olonga J, Maguire M J

出版信息

Acta Paediatr Scand. 1978 Nov;67(6):731-4. doi: 10.1111/j.1651-2227.1978.tb16251.x.

DOI:10.1111/j.1651-2227.1978.tb16251.x
PMID:716872
Abstract

Thirty-six cases of empyema were diagnosed in children over a two year period, giving an overall incidence of 0.11% of the total hospital admissions. Many of them had measles bronchopneumonia and most were malnourished. 16 children had penicillin resistant staphylococcal infection. 29 of them were treated with closed tube drainage. Thirteen died during the course of treatment, the majority within three days of admission. The rest were followed up over a period of up to six months and showed good recovery. Six of these patients developed pneumothorax during the course of treatment. Various combinations of Ampicillin, Cloxacillin, Gentamycin and Cotrimoxazole parenterally were used. Supportive treatment with blood transfusion was found to be beneficial.

摘要

在两年期间诊断出36例儿童脓胸病例,占医院总入院人数的0.11%。他们中的许多人患有麻疹支气管肺炎,大多数营养不良。16名儿童患有耐青霉素葡萄球菌感染。其中29例采用闭式引流管治疗。13例在治疗过程中死亡,大多数在入院后三天内死亡。其余患者随访长达六个月,恢复良好。其中6例患者在治疗过程中出现气胸。采用了氨苄西林、氯唑西林、庆大霉素和复方新诺明的各种胃肠外联合用药。发现输血支持治疗是有益的。

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