【摘要】 目的:探讨多层螺旋CT(MSCT)对小儿脓胸的诊断及对临床治疗方案选择的指导意义,从而达到消除脓腔及感染,促进肺复张的治疗目的。方法:选择2008年3月至2011年12月在我院行MSCT检查并经三维重建的病历资料完整的小儿脓胸患儿36例为研究对象,进行回顾性分析。结果:本组患儿左侧脓胸19例,右侧脓胸15例,脓气胸2例。合并肺脓肿14例,少量积液9例,中量积液17例,大量积液10例。对渗出早期、少量胸腔积液的脓胸患儿9例给予抗菌素治疗及支持治疗,其中3例治疗效果不佳,改行胸腔抽脓治疗;纤维脓性期18例行胸腔引流冲洗、胸腔闭式引流;对慢性期(机化期)脓胸患儿9例行手术治疗。结论:根据MSCT不同分期而对小儿脓胸采取适当的治疗方法,能有效缩短感染及脓腔存在的时间及病程。更多还原

【Abstract】 Objective: To explore the value of diagnosing pediatric empyema with Multi-slice Spiral CT(MSCT),and discuss its implications for providing clinical treatment options,eliminating infection,and recovering pulmonary function.Methods:From March 2008 untill December 2011,a total of 36 pediatric patients with empyema diagnosed through MSCT,and with full clinical data were chosen for a retrospective analysis.Results:19 patients had empyema on the left side,15 patients had emyema on the right side.Empyema complicated with pneumothorax was observed in 2 patients,while 14 patients had a concominant lung abscess.9,17,and 10 patients had small,intermediate and large amounts of empyema respectively.9 children with early stage and small amount of empyema was treated with antibiotics,with 3 of them resort to pulmonary puncture after treatment failure.18 patients with fibrosis received pleural drainage and closes thoracic drainage.9 patients with chronic organized stage were given surgical treatment.Conclusion:Treatment were given according to different stages in MSCT can effectively shorten the time with infection and abscess.更多还原