MIkhaĭlova V
Khirurgiia (Sofiia). 1996;49(3):41-4.
Over a ten-year period (1985 through 1994), 183 children with acute purulent-destructive pleuropulmonary disease undergo treatment in the pediatric chest surgery department of the Medical Faculty-Sofia. Their distribution by age is as follows: 0-1 y. -28 children (15.2 per cent), 1-3 y.-67 (36.4 per cent), and 3-15 y. -88 (48.4 per cent). To assess the lung condition, and specify the form of disease and therapeutic approach, conventional and contrast roentgenography, thoracoscopy and CAT are performed. St. aureus is the etiological contributory cause in 28.9 per cent of patients, gram-negative flora-in 32.4 per cent, mixed microbial flora-in 33.2 per cent, and in the remainder no causing agent is isolated (15.5 per cent). All patients are subjected to complex treatment. In 23 children (12.5 per cent) the pleural complication is treated by pleural puncture, and in 138 (75.5 per cent)-by drainage of the pleural cavity. In 22 children (12.0 per cent) thoracotomy is done with varying in size pulmonary resection. In six children (3.2 per cent) the outcome is fatal.
在十年期间（1985年至1994年），183名患有急性化脓性破坏性胸膜肺部疾病的儿童在索非亚医学院儿科胸外科接受治疗。他们的年龄分布如下：0至1岁-28名儿童（15.2%），1至3岁-67名（36.4%），3至15岁-88名（48.4%）。为评估肺部状况、明确疾病形式和治疗方法，进行了传统和对比X线摄影、胸腔镜检查和计算机断层扫描。金黄色葡萄球菌是28.9%患者的病因，革兰氏阴性菌-占32.4%，混合微生物菌群-占33.2%，其余患者未分离出致病因子（15.5%）。所有患者均接受综合治疗。23名儿童（12.5%）通过胸腔穿刺治疗胸膜并发症，138名（75.5%）通过胸腔引流治疗。22名儿童（12.0%）进行了不同大小的肺切除开胸手术。6名儿童（3.2%）死亡。
