【摘要】 目的报告34例慢性脓胸患者行早期病灶清除纤维板剥脱术的临床结果。方法男19例，女15例；年龄9个月～64岁，其中学龄前儿童21例（61．8％）。化脓性脓胸30例（882％），结核性脓胸3例（8．8％），外伤性腔胸1例（29％）。均成功施行了纤维板剥脱术，其中6例同时行肺叶或患侧全肺切除术。结果无早期死亡和与手术有关的并发症，随访6个月～7年无复发。结论早期病灶清除纤维板剥脱术治疗慢性脓胸疗效确切．术后恢复快，住院时间短，减少了治疗费用，且无后期胸廊畸形，尤其适于小儿脓胸、金黄色葡萄球菌脓胸和脓胸患者合并免疫低下或慢性肺疾病等。更多还原

【Abstract】 Objective This paper presented successful results for treatment of chronic thoracic empyema using early decortication.Methods From January 1990 to December 1997, 34 consecutive patients (19 men and 15 women) (9months to 64 years, ≤7 years old was 61. 8% )with a chronic empyema underwent early decortication. There were 4 cases with lung abscess and 3 cases with tuberculosis including one brancho-pleural fistula. Predominant organisms that were identified by preoperative cultures of drained or aspirated pus included Staphylococcus aureus(16) and pneu- mococcus (4). The cultures were negative in 8 cases. Results An early decortication was performed successfully in all patients including 6 patients who underwent a concomitant lobectomy or pneumonectomy because of a primary disease of the lung. One case with lung abscess had an evidence of squamous carcinoma by pathological examination postopera- tively. Conclusion To avoid formation of the chronic organized empyema decortication should be performed early,es- pecially in children or in patients with lung disease or serious systematic illness. It can be reduce the days in hospital,cost of treatment,undertaking agony and malformation of thorax.更多还原