Bieselt R
Clemens-Hospital Münster, Akademisches Lehrkrankenhaus, Westfälische Wilhelms-Universität.
Langenbecks Arch Chir. 1997;382(4 Suppl 1):S42-6. doi: 10.1007/pl00014643.
Empyema continues to be a significant problem in spite of improved surgical techniques and the use of new, more potent antimicrobial agents. This report describes our experience in the treatment of empyema at the Clemens Hospital in Münster, Germany, from 1990 to 1996. Basic to conservative treatment are closed drainage with intensive irrigation and instillation of Taurolin, a chemotherapeutic agent against bacterias, yeasts and mycetes. This treatment has been employed since 1990 and given 86 patients with just empyema or in combination with decortication. The superiority of this method to other methods of treatment is discussed on the basis of our results.
尽管手术技术有所改进,且使用了更新、更有效的抗菌药物,但脓胸仍然是一个重大问题。本报告描述了我们1990年至1996年在德国明斯特克莱门斯医院治疗脓胸的经验。保守治疗的基础是闭式引流,并强化冲洗和滴注陶罗林(一种抗细菌、酵母菌和霉菌的化疗药物)。自1990年以来一直采用这种治疗方法,共治疗了86例单纯脓胸或合并胸膜剥脱术的患者。我们根据结果讨论了这种方法相对于其他治疗方法的优越性。