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目的为提高小儿脓胸的治愈率 ,减少并发症 ,探讨早期纤维板剥脱术治疗小儿脓胸的可行性。方法本组 10 0例患儿均采用胸部侧位或标准后外侧切口 ,经肋间或肋床进胸、行胸膜纤维板剥脱术 ;肺叶切除 6例 ,支气管胸膜瘘修补 12例 ,肺楔形切除 8例。结果 1例 4月婴儿因年龄较小痰多粘稠窒息死亡。 1例因丝线排异反应伤口不愈合 ,再次行清创缝合术 ,余 98例均一期治愈。其中 62例 1周内手术患儿 ,术后带管时间明显缩短 ,平均 1.2天 ,引流量少 ,住院时间短。结论小儿脓胸最理想的起始治疗方法是早期胸膜纤维板剥脱术
Objective To improve the cure rate of pediatric empyema, reduce complications and explore the feasibility of early fibrinolysis in the treatment of pediatric empyema. Methods The group of 10 cases of children were treated with chest lateral or standard posterolateral incision through the intercostal or rib bed into the chest, pleural fibration stripping; lobectomy in 6 cases, bronchopleural repair in 12 cases, pulmonary wedge resection in 8 cases . Results In April, 1 infant died of viscous asphyxia due to younger sputum. One case of rejection due to non-union wound re-line debridement and suturing, more than 98 cases were cured. Of the 62 patients who underwent surgery in one week, the duration of laparotomy was significantly shortened, with an average of 1.2 days, less drainage and shorter hospital stay. Conclusion The best initial treatment for pediatric empyema is early pleural fibrolysis