【摘要】 目的:探讨肺炎旁积液合并脓胸的临床特征,提高对其诊疗水平。方法:结合文献资料回顾分析14例临床病例。结果:(1)临床表现为发热、咳嗽、患侧胸痛。体检及X线胸片示胸腔积液;(2)胸水多呈脓性,易形成包裹;(3)急性期选用敏感抗生素治疗的同时,给予胸腔穿刺或持续胸腔闭式引流,并结合尿激酶冲洗胸腔,可获得满意的疗效。结论:确诊肺炎旁积液合并脓胸后,在选用敏感抗生素的同时,积极给予胸腔穿刺或持续胸腔闭式引流,并配合尿激酶胸腔冲洗治疗,可避免开胸手术。更多还原

【Abstract】 Objective: To investigate the clinical characteristic of paiapneumonic effusion complicated with empyema, to improve the level of its diagnosis and treatment. Methods: Analyzing 14 cases of parapneumonic effsion complicated empyema and reviewing the related literatures. Results: (1) Clinical presentation of parapneumonic effusion complicated with empyema includes fever, cough, chest pain in the side of involvment. Physical examination and X-ray show pleural effusion. (2) Pleural effusions are puru-lent, easy to be loculated. (3) While sensitive antibiotics being applied, thoracentesis or tube thoracostomy should be taken with in-trapleural instillation of urokinase during the acute stage, which would resolve such disorder fulfilly. Conclusion: After paraneumon-ic effusion complicated empyema being confirmed, thoracentesis or tube thoracostomy with intrapleural instillation of urokinase should be taken actively while sensitive antibiotics being applied, which might make the patient avoid of decortication.更多还原