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艾滋病患者胸腔积脓采用胸膜腔内注射链激酶的非手术治疗

Non surgical treatment of empyema thoracis with intrapleural streptokinase in a patient with AIDS.

作者信息

Miller R F, Severn A

机构信息

Department of Medicine, University College London Medical School, Middlesex Hospital Site, UK.

出版信息

Genitourin Med. 1995 Aug;71(4):259-61. doi: 10.1136/sti.71.4.259.

DOI:10.1136/sti.71.4.259
PMID:7590722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1195527/
Abstract

After unsuccessful treatment with intercostal tube drainage and antibiotics intrapleural streptokinase was used to treat successfully an empyema in a man with AIDS and advanced cutaneous Kaposi's sarcoma who was unfit for surgical decortication. The role of this technique in the management of HIV positive patients with empyema is discussed.

摘要

在经肋间引流管引流和抗生素治疗失败后,胸膜腔内使用链激酶成功治愈了一名患有艾滋病且伴有晚期皮肤卡波西肉瘤、不宜进行外科胸膜剥脱术的男性患者的脓胸。本文讨论了该技术在治疗HIV阳性脓胸患者中的作用。

相似文献

1
Non surgical treatment of empyema thoracis with intrapleural streptokinase in a patient with AIDS.艾滋病患者胸腔积脓采用胸膜腔内注射链激酶的非手术治疗
Genitourin Med. 1995 Aug;71(4):259-61. doi: 10.1136/sti.71.4.259.
2
Randomized controlled trial of intrapleural streptokinase in empyema thoracis in children.儿童脓胸胸腔内注射链激酶的随机对照试验
Acta Paediatr. 2004 Nov;93(11):1443-5. doi: 10.1111/j.1651-2227.2004.tb02626.x.
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A study of empyema thoracis and role of intrapleural streptokinase in its management.脓胸的研究及胸膜腔内链激酶在其治疗中的作用
BMC Infect Dis. 2004 Jun 29;4:19. doi: 10.1186/1471-2334-4-19.
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Efficacy, safety and tolerability of streptokinase in multiloculated empyema.链激酶治疗多房性脓胸的疗效、安全性及耐受性
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Intrapleural streptokinase treatment in children with empyema.胸膜腔内注射链激酶治疗儿童脓胸
Eur J Pediatr. 2008 Jul;167(7):739-44. doi: 10.1007/s00431-007-0580-2. Epub 2007 Aug 21.
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Intrapleural streptokinase in complicated parapneumonic effusions and empyema.胸膜腔内注射链激酶治疗复杂性类肺炎性胸腔积液和脓胸
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[Intrapleural fibrinolysis with streptokinase in th treatment of loculated empyema].[链激酶胸腔内纤维蛋白溶解疗法治疗局限性脓胸]
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Intrapleural streptokinase for the treatment of complicated parapneumonic effusion and empyema in 2 newborns.新生儿 2 例并发脓胸和肺炎旁胸腔积液应用胸腔内链激酶治疗。
J Pediatr Surg. 2012 Oct;47(10):e41-4. doi: 10.1016/j.jpedsurg.2012.07.034.
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Pediatric empyema thoracis: What has changed over a decade?小儿脓胸:十年来有何变化?
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A trial of intrapleural streptokinase.胸膜内链激酶试验。
N Engl J Med. 2005 May 26;352(21):2243-5; author reply 2243-5.

本文引用的文献

1
THE EFFECT IN PATIENTS OF STREPTOCOCCAL FIBRINOLYSIN (STREPTOKINASE) AND STREPTOCOCCAL DESOXYRIBONUCLEASE ON FIBRINOUS, PURULENT, AND SANGUINOUS PLEURAL EXUDATIONS.链球菌纤维蛋白溶酶(链激酶)和链球菌脱氧核糖核酸酶对患者纤维蛋白性、脓性和血性胸腔渗出液的作用
J Clin Invest. 1949 Jan;28(1):173-90. doi: 10.1172/JCI102046.
2
The clinician's perspective on parapneumonic effusions and empyema.临床医生对肺炎旁胸腔积液和脓胸的看法。
Chest. 1993 Jan;103(1):259-61. doi: 10.1378/chest.103.1.259.
3
Community acquired lobar pneumonia in patients with HIV infection and AIDS.HIV感染和艾滋病患者的社区获得性大叶性肺炎
Thorax. 1994 Apr;49(4):367-8. doi: 10.1136/thx.49.4.367.
4
Intrapleural streptokinase in the management of empyema.胸膜腔内注射链激酶治疗脓胸
Thorax. 1994 Sep;49(9):856-9. doi: 10.1136/thx.49.9.856.
5
Role of streptokinase in the treatment of acute loculated parapneumonic pleural effusions and empyema.链激酶在急性包裹性肺炎旁胸腔积液和脓胸治疗中的作用。
Thorax. 1994 Sep;49(9):852-5. doi: 10.1136/thx.49.9.852.
6
Major hemorrhage following administration of intrapleural streptokinase.胸腔内注射链激酶后发生大出血。
Chest. 1984 Sep;86(3):486-7. doi: 10.1378/chest.86.3.486.
7
Instillation of fibrinolytic enzymes in the treatment of pleural empyema.纤维蛋白溶解酶滴注治疗胸膜脓胸
Thorac Cardiovasc Surg. 1982 Feb;30(1):36-8. doi: 10.1055/s-2007-1022203.
8
Intrapleural instillation of streptokinase. Effects on systemic fibrinolysis.链激酶胸腔内注射。对全身纤维蛋白溶解的影响。
Thorac Cardiovasc Surg. 1981 Apr;29(2):124-6. doi: 10.1055/s-2007-1023459.
9
Management of refractory empyema with early decortication.早期剥脱术治疗难治性脓胸
Am J Surg. 1988 Dec;156(6):529-32. doi: 10.1016/s0002-9610(88)80546-4.
10
Treatment of loculated pleural effusions with transcatheter intracavitary urokinase.经导管腔内注入尿激酶治疗包裹性胸腔积液
AJR Am J Roentgenol. 1989 Nov;153(5):941-5. doi: 10.2214/ajr.153.5.941.