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首页> 外文期刊>Surgical Endoscopy >Video-assisted thoracoscopic surgery in the management of loculated empyema.
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Video-assisted thoracoscopic surgery in the management of loculated empyema.

机译：电视胸腔镜手术治疗局限性脓胸。

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摘要

BACKGROUND: Fibropurulent empyema (stage II of Light) does not respond to antibiotic therapy and simple drainage. If the condition is inadequately treated, restrictive pulmonary deficit develops, necessitating thoracotomy and decortication. We report our experience with the videoscopic management of stage II and limited stage III disease. METHODS: Ten consecutive patients underwent videoscopic debridement of fibropurulent empyema; three of them required removal of limited visceral and parietal rind. RESULTS: The mean operating time was 42 +/- 8.1 min. Postoperative pyrexia and leucocytosis settled within 4.2 +/- 2.1 days and 13.1 +/- 3.2 days, respectively. Intercostal chest tubes were removed by 4.5 +/- 1.0 days. The mean fall in hematocrit following surgery was 4.9%. Parenteral analgesics were required for 1.0 +/- 0.5 days and oral analgesics for 3 +/- 1.6 days. The mean postoperative stay was 11 +/- 8.1 days. No patient required any further intervention. CONCLUSIONS: Videoscopic debridement of empyema produces excellent results, with minimal patient morbidity and a short hospital stay. We recommend it as the preferred method for first-line management of fibropurulent (stage II) empyema.
机译：背景：纤维化脓性脓胸（Light II期）对抗生素治疗和简单引流没有反应。如果不适当地治疗，则会出现限制性肺功能不全，需要开胸和脱皮。我们报告我们在II期和有限III期疾病的视频管理方面的经验。方法：连续10例患者进行了电视化的纤维化脓性脓胸清创术;其中三个需要去除有限的内脏和顶皮。结果：平均手术时间为42 +/- 8.1分钟。术后发热和白细胞增多分别在4.2 +/- 2.1天和13.1 +/- 3.2天内解决。在4.5 +/- 1.0天时取出肋间胸管。手术后平均血细胞比容下降为4.9％。肠胃外镇痛药需要1.0 +/- 0.5天，口服镇痛药需要3 +/- 1.6天。术后平均住院时间为11 +/- 8.1天。没有患者需要任何进一步的干预。结论：脓胸的可视化清创术产生了优异的结果，患者发病率极低，住院时间短。我们推荐它作为一线处理纤维化脓性脓肿（II期）的首选方法。

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