胸腔闭式引流在结核性脓胸治疗中的作用  

Effect of thoracic close drainage on treatment of tuberculous empyema.

作　　者：王成[1] 金锋[1] 刘景亮[1] 祝淮阳[1] 杨宝岭 王明训[1] 

机构地区：[1]山东省胸科医院胸外科,济南250013

出　　处：《中国综合临床》2007年第11期1023-1024,共2页Clinical Medicine of China

摘　　要：目的探讨胸腔闭式引流在慢性结核性脓胸治疗中的应用价值。方法回顾分析胸腔闭式引流治疗156例结核性脓胸患者的临床资料。结果4例不能耐受进一步手术者采用闭式引流术作为永久性的治疗;6例单纯引流治愈;123例因支气管胸膜瘘等经引流后高热、咳嗽、咳痰等症状消失,择期行胸膜纤维板剥脱术或胸廓成形术;23例合并支气管胸膜瘘拟行胸廓成形术的患者,经引流、病灶清除-瘘修补-脏层纤维板剥脱术、再引流,4例治愈,19例减小了手术范围及胸廓畸形的程度。结论胸腔闭式引流术可使少数结核性脓胸患者得到治愈,又可为必要的根治性手术创造条件,能最大限度地保留肺功能,可避免或减轻胸廓成形术带来的术后畸形。Objective To explore the clinical effect of thoracic close drainage on the treatment of chronic tuberculous empyema. Methods Clinical data of 156 cases of chronic tuberculous empyema treated with thoracic close drainage were retrospectively analyzed. Results 4 cases were treated by thoracic close drainage as long term treatment; 6 cases were cured with exclusive thoracic close drainage; 123 cases of bronchopleural fistula were treated with decortication or thoracoplasty after their symptoms of ardent fever, cough and expectoration vanished due to drainage ; 23 cases of hronchopleural fistula were treated with thoracic close drainage, cleaning up focus of infectionrestoring fistulae-splanchnic wall decortication and repeated chest drainage ,4 cases were cured and the extent of operation and thoracic deformity in 19 cases were diminished. Conclusion Thoracic close drainage could cure minor- ity of cases of tuberculous empyema and prepare for subsequent radical surgery. Lung function could be utmostly remained and thoracic deformity could be avoided or diminished due to thoracic close drainage.

关 键 词：脓胸 结核 胸腔闭式引流 

分 类 号：R521[医药卫生—内科学]