Kelm C, Padberg W, Zimmermann T, Schwemmle K
Klinik für Abdominal- und Thoraxchirugie, Justus-Liebig-Universität Giessen.
Chirurg. 1993 Apr;64(4):279-82.
Pneumonia occurs in about 60% of ventilated patients with a lethality of approximately 40%. Since 1980 we performed a thoracotomy in 16 patients of an intensive care unit suffering from a lung infection (mean age 34 years). In all patients an adequate antibiotic therapy was unsuccessful. By means of the computed tomography we could ascertain a lung infection limited to one part of the lung, mostly combined by an abscess. We performed 14 lobectomies and one atypical wedge resection and segment resection each. Postoperatively 8 patients died: Three of them because of a persisting septic shock and five because of their multiple injuries. Lung resection is a good treatment in case of a lung infection with septic complications.
约60%接受机械通气的患者会发生肺炎，致死率约为40%。自1980年以来，我们对16名重症监护病房中患有肺部感染的患者（平均年龄34岁）进行了开胸手术。所有患者接受的充分抗生素治疗均未成功。通过计算机断层扫描，我们确定肺部感染局限于肺部的一个区域，多数合并有脓肿形成。我们进行了14例肺叶切除术，各进行了1例非典型楔形切除术和肺段切除术。术后8例患者死亡：其中3例死于持续的感染性休克，5例死于多发伤。对于伴有感染性并发症的肺部感染，肺切除术是一种有效的治疗方法。
