Hsieh H C, Liu H P, Lin P J, Chu J J, Chang J P, Hsieh M J, Chang C H, Chen R J
Department of Thoracic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1993 Jun;16(2):120-4.
A 30-year-old male presented with left side empyema due to gastro-pleural fistula following repair of penetrating stab injuries of left lower chest and abdomen. Exploratory thoracotomy was done due to persistent moderate amount of purulent discharge. However, fistula tract was not detected through this approach. The small fistula tract was repaired finally through laparotomy. We recommended the abdominal approach if the disease is not combined with diaphragmatic hernia. Transabdominal approach showed superiority in this rare entity.
一名30岁男性因左下胸部和腹部穿透性刺伤修复术后胃胸膜瘘导致左侧脓胸。由于持续有中等量的脓性分泌物，遂进行了 exploratory thoracotomy（此处“exploratory thoracotomy”可能有误，推测应为“ exploratory thoracostomy”，即“剖胸探查术”）。然而，通过这种方法未检测到瘘管。最终通过剖腹手术修复了小瘘管。如果疾病不合并膈疝，我们建议采用经腹入路。在这种罕见病例中，经腹入路显示出优势。
