Ndiaye O, Ba M, Cisse M F, Sow H D, Diack-Mbaye A, Signate-Sy H, Sarr M, Fall M
Dakar Med. 1994;39(2):179-84.
We studied 122 cases of empyema in children. The mean age was 3 years. We found malnutrition in 33% of the patients. 60% of them had large pleural effusion and 56% associated pneumonia. Staphylococcus aureus (51%) and Streptococcus pneumoniae (18%) were the most frequently isolated bacterias in pleural fluid. The mortality rate was 6.5%. 53% of the children had closed chest tube drainage. There were minor abnormalities in pulmonary function tests. The best treatment of empyema in children is closed chest tube drainage and an antimicrobial therapy with antistaphylococcus antibiotic.
我们研究了122例儿童脓胸病例。平均年龄为3岁。我们发现33%的患者存在营养不良。其中60%有大量胸腔积液，56%合并肺炎。金黄色葡萄球菌（51%）和肺炎链球菌（18%）是胸腔积液中最常分离出的细菌。死亡率为6.5%。53%的儿童采用了闭式胸腔引流术。肺功能测试有轻微异常。儿童脓胸的最佳治疗方法是闭式胸腔引流术和使用抗葡萄球菌抗生素的抗菌治疗。
