摘要
目的探讨儿童化脓性胸膜炎的临床特点及最佳治疗方案。方法对30例儿童化脓性胸膜炎患者的临床资料进行回顾性分析。结果 2001年至2009年10年内收治儿童脓胸30例,其中穿刺抽脓7例,治愈率为42.9%;胸腔闭式引流5例,治愈率为60%;胸腔清创术或纤维板剥脱术17例,治愈率为100%。结论胸腔积液较少时宜穿刺抽脓,较多时宜行胸腔闭式引流,时间不超过2周。若2周病情无明显改善,宜行胸腔清创术或纤维板剥脱术。
Objective To investigate the clinical features and optimal treatment program of purulent pleurisy in children.Methods Thirty cases of clinical data of children purulent pleurisy were retrospectively analyzed.Results From 2001 to 2009,30 cases of children with purulent pleurisy were treated,pus aspiration for 7 cases,the cure rate was 42.9%;chest closed drainage 5 cases,the cure rate was 60%;pleural debridement or fiber dissection 17 cases,the cure rate was 100%.Conclusion When pleural effusion was less,it should puncture to collect pus;when it was higher,chest closed drainage should be carried out.The drainage time was not more than two weeks.After two weeks,if the condition did not improved,pleural debridement or fiber dissection should be conducted.
出处
《临床医学》
CAS
2011年第2期25-26,共2页
Clinical Medicine
