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首页> 外文期刊>Surgical Endoscopy >Ideal timing of thoracoscopic decortication and drainage for empyema in children.
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Ideal timing of thoracoscopic decortication and drainage for empyema in children.

机译：儿童胸腔镜除皮和引流治疗脓胸的理想时机。

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BACKGROUND: Thoracoscopy may be required for resistant empyema in children. This study aimed to determine the advantages of thoracoscopy performed soon after diagnosis and its ideal timing. METHODS: Between 1996 and 2002, 21 children who had undergone thoracoscopy as an initial procedure or after failure of medical treatment were retrospectively reviewed. The study compared outcome of early thoracoscopy (fewer than 4 days after diagnosis) and that of later surgery. The 4-day limit was chosen for physiopathologic reasons (organization of pleuresia in 72 h). RESULTS: In the early thoracoscopy group, the findings showed shorter operative time (p = 0.03) and postoperative hospital stay (p < 0.05), fewer technical difficulties, fewer complications, and no recourse to other surgical procedures. CONCLUSIONS: Early thoracoscopy is greatly beneficial for children with empyema by shortening disease progression. An initial short trial of medical treatment for nonorganising empyema may be attempted on the condition that thoracoscopy not be delayed more than 4 days.
机译：背景：对于耐药性脓胸患儿可能需要进行胸腔镜检查。这项研究旨在确定诊断后不久进行胸腔镜检查的优势及其理想时机。方法：回顾性分析1996年至2002年期间接受胸腔镜检查的21例初次手术或治疗失败的儿童。该研究比较了早期胸腔镜检查（诊断后少于4天）和后期手术的结果。出于生理病理学原因（72小时组织性胸膜炎）选择了4天时限。结果：在早期的胸腔镜检查组中，发现结果显示手术时间较短（p = 0.03）和术后住院时间（p <0.05），技术难度较小，并发症较少，并且无需其他手术方法。结论：早期胸腔镜检查可通过缩短疾病进展对脓胸患儿大有裨益。在不将胸腔镜检查延迟不超过4天的情况下，可以尝试对非组织性脓胸进行初步的短期医学治疗。

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