Magovern C J, Rusch V W
Department of Surgery, New York Hospital-Cornell Medical Center, New York.
Chest Surg Clin N Am. 1994 Aug;4(3):561-82.
Thoracic empyema, an accumulation of pus in the pleural space, was first described by Hippocrates. Today, parapneumonic and post-traumatic empyemas account for two thirds of all pleural space infections. Although modern antibiotic therapy has significantly reduced the incidence of thoracic empyemas, it remains a problem that thoracic surgeons will encounter and should feel comfortable about recognizing and treating. The successful management of thoracic empyemas centers on adequate and timely drainage, the use of appropriate antibiotics, the selective use of decortication, and the proper treatment of underlying pulmonary parenchymal disease.
胸腔积脓，即胸膜腔内积聚脓液，最早由希波克拉底描述。如今，肺炎旁和创伤后胸腔积脓占所有胸膜腔感染的三分之二。尽管现代抗生素治疗已显著降低胸腔积脓的发病率，但它仍是胸外科医生会遇到的问题，并且医生应熟练掌握其识别与治疗方法。胸腔积脓的成功治疗主要在于充分及时的引流、使用合适的抗生素、选择性进行胸膜剥脱术以及正确治疗潜在的肺实质疾病。
