中西医结合治疗结核性脓胸伴支气管胸膜瘘  

Treatment of tuberculous empyema accompanying bronchopleural fistula with combined Chinese traditional and Western medicine

作　　者：陈翔[1] 李宏[2] 张向华[1] 魏福岭[1] 李东[1] 吕坤[1] 

机构地区：[1]解放军总医院第309临床部心胸外科,北京100091 [2]北京中医药大学,北京100029

出　　处：《军医进修学院学报》2009年第6期838-839,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的总结2006-2008年42例结核性脓胸支气管胸膜瘘患者的中西医结合治疗经验。方法全组患者分别经胸腔闭式引流、胸膜肺结核病灶清除、胸膜外肺叶或全肺切除或余肺切除术等外科手术治疗,术后接受中药外敷、内服等治疗。结果38例获得临床治愈(90.5%);好转4例,全组无死亡。结论外科手术是结核性脓胸支气管胸膜瘘有效治疗方式之一,结合中药外敷、内服能取得更好的疗效。Objective To summarize the experience in treatment of 42 cases of tuberculous empyema accompanying bronchopleural fistula with combined Chinese traditional and Western medicine. Methods The 42 cases were treated with transthoracic closed drainage, removal of pleural tuberculous foci, resection of extra-pleural lung lobes and total pneumonectomy, followed by compress or oral medication of traditional Chinese herbal drugs. Results Thirty-eight cases were completely cured after the treatment with a clinical effective rate of 90.5% （38/42）, and 4 cases were improved with no death occurred. Conclusion Surgery is one of the effective treatment modalities for tuberculous empyema accompanying bronchopleural fistula. Better results can be achieved when surgery is combined with compress and oral medication of traditional Chinese herbal drugs.

关 键 词：脓胸 结核性 支气管瘘胸膜 中西医结合疗法 

分 类 号：R52[医药卫生—内科学]