肺炎旁胸腔积液患者的细菌学检查与治疗结果分析  

Bacteriological examination of parapneumonic effusion and treatment results

作　　者：何志刚[1] 王京龙[1] 王澄[1] 

机构地区：[1]即墨市人民医院胸外科,山东即墨266200

出　　处：《中华医院感染学杂志》2011年第16期3360-3362,共3页Chinese Journal of Nosocomiology

摘　　要：目的观察肺炎旁胸腔积液(PPE)患者的细菌学检查与治疗结果。方法回顾性分析85例PPE患者的临床资料,分析病理分型、细菌学特点与治疗结果。结果 85例PPE病理分型为单纯性肺炎旁胸腔积液(UPPE)35例,占41.2%,复杂性肺炎旁胸腔积液(CPPE)38例,占44.7%,脓胸12例,占14.1%;细菌培养18例阳性,阳性率为21.2%,其中UPPE3例,均为痰培养,占16.7%,CPPE 11例,痰培养9例和胸水培养2例占61.1%,脓胸4例,痰培养2例和胸水培养2例,占22.2%;采用β-内酰胺类抗菌药物和(或)胸腔抽液和(或)闭式引流和(或)尿激酶治疗,3组治愈率分别为88.6%、84.2%和83.3%,差异无统计学意义;3组的住院时间比较差异有统计学意义(P<0.05)。结论 PPE患者的细菌学培养对PPE的病理分型和治疗方法的选择具有重要意义。OBJECTIVE To investigate the bacteriologic features and treatment results of parapneumonic efusion（PPE）.METHODS The clinical data of 85 cases with PPE were retrospectively analyzed.The clinical pathological type,bacteriologic features and treatment results were investigated.RESULTS 35 cases were uncomplicate parapneumonic efusion（UPPE）,accounting for 41.2%;38 cases of complicate parapneumonic effusion（CPPE）,accounting for 44.7%;12 cases of empyema,accounting for 14.1%.The positive rate of bacterial culture was 21.2%,3 cases（all of sputum） of UPPE,accounting for 16.7%,11 cases（9 cases of sputum and 2 cases of hydrothorax） of CPPE,accounting for 61.1%,4 cases（2 cases of sputum and 2 cases of hydrothorax） of empyema,accounting for 22.2%.They were treated with β-lactam antibiotics,drainage of pleural cavity,closed thoracic cavity drainage,or urokinase,and the cure rate of the three pathological types were 88.6%,84.2% and 83.3%,respectively,which showed no significance（P0.05）.The three groups produced significant differences in the time of hospital stay（P0.05）.CONCLUSION The bacterial culture of patients with PPE is important to the clinical pathological typing and the choice of treatment method.

关 键 词：肺炎旁胸腔积液 细菌学培养 胸腔闭式引流 

分 类 号：R181.32[医药卫生—流行病学]