急性脓胸的手术治疗  

Surgery therapy of acute empyema

作　　者：胡寿祥 伍铭 赵普 武守国 黄梅霜 杨艳萍 

机构地区：[1]茂名市中医院,525000

出　　处：《中国实用医药》2009年第26期32-33,共2页China Practical Medicine

摘　　要：目的总结急性脓胸的手术治疗效果。方法31例急性脓胸患者采用手术治疗,包括7例胸腔镜手术。术中清除脓液、脓块及坏死组织,剥除脏层胸膜的纤维膜或纤维板,使被压缩的肺组织充分膨胀。结果全组31例患者手术时间平均(114±52)min,术中出血平均(250±175)ml,平均住院12d,痊愈出院。随访无脓胸复发。结论手术治疗急性脓胸效果可靠,恢复快,住院时间短。胸腔镜下手术更加值得推广。Objective To evaluate the surgery therapeutic efficacy of acute empyema. Methods 31 patients suffered from acute empyema were treated by operation, mehudd 7 cases with the video assisted thoracoscope （VATS）. In the course of operation, pus liquid, clot, as well as necrotic tissues were cleared and fibrous membrane and fibrous lamina attached on the visceral pleura were stripped to make the compressed lung fully expand. Results The average of operation time is （ 114 ± 52 ）minutes, bleeding（ 250 ± 175 ）ml, length of stay 12 days. All were discharged fully recovery. No empyema recurred at 2 months to 4 years flowed-up. Conclusion It is a reliable method of surgery on acute empyema,with rapid recovery and short length of stay. VATS may be encouraged.

关 键 词：脓胸 手术治疗 电视胸腔镜手术 

分 类 号：R655[医药卫生—外科学]