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目的探讨急性脓胸的临床特点和合理有效的微创外科治疗方法。方法回顾性分析49例急性脓胸的外科临床资料。结果所有患者均应用硅橡胶三腔气囊尿管作为胸管行胸腔闭式引流术,术后行间断胸腔内冲洗治疗急性脓胸,其中2例转为行开胸手术治疗,1例转为行经胸腔镜手术治疗,其余46例痊愈出院,所有患者经治疗后恢复良好,无明显手术并发症。住院时间10~26 d,平均住院时间16 d,治愈率94%。术后随访1年患者肺功能均正常,均无复发。结论应用硅橡胶三腔气囊尿管胸腔内置管治疗急性脓胸技术可行、操作简便安全、疗效确切,可视为目前治疗急性脓胸首选微创外科治疗方法。
Objective To investigate the clinical features of acute empyema and reasonable and effective minimally invasive surgical treatment. Methods The clinical data of 49 cases of acute empyema were analyzed retrospectively. Results All patients were treated with silicone rubber three-chamber balloon catheter as a thoracic tube for closed drainage, followed by continuous intrathoracic flushing for acute empyema. Two patients underwent open thoracotomy and one patient underwent surgery Thoracoscopic surgery, the remaining 46 patients were discharged, all patients recovered well after treatment, no obvious complications. Hospitalization time 10 ~ 26 d, the average hospital stay 16 d, the cure rate was 94%. One year follow-up of patients with lung function were normal, no recurrence. Conclusion The application of silicone rubber three-chamber balloon catheter for the treatment of acute empyema is feasible, safe and easy to operate, and can be considered as the minimally invasive surgical treatment of acute empyema.