论文部分内容阅读
作者对203例细菌性肺炎患者进行前瞻性研究,所有患者入院后72小时内均拍左右侧卧位胸片。侧卧位胸片上胸液厚度超过10mm 时则做诊断性胸腔穿刺。如胸腔积液须采取插管引流以助吸收者和/或胸液培养有细菌生长者,即视为复杂性胸腔渗液.203例肺炎中胸积液90例(占44.4%).有、无渗液者,其临床表现十分相似。90例中37例作过胸腔穿刺,其中10例(27%)为复杂性;7例细菌培养阳性,3例细菌培养为阴性,但需安放引流管。此3例安放引流管者,胸液为粘稠脓性,糖含量极低(1～
The authors of 203 patients with bacterial pneumonia were prospectively studied, all patients were taken within 72 hours after the left and right lateral chest radiographs. Lateral chest radiograph when the pleural fluid thickness is more than 10mm diagnostic thoracentesis. Such as pleural effusion to be taken intubation drainage to help absorbers and / or pleural fluid cultured with bacterial growth, which is considered complicated pleural effusion .203 cases of pneumothorax in 90 cases (44.4%). There, No bleeding, their clinical manifestations are very similar. Seventy of the 90 patients underwent thoracentesis, of which 10 (27%) were complicated. Seven were positive for bacterial culture and three were negative for bacterial culture, but a drainage tube was required. The three cases of drainage tube placement, pleural fluid was sticky purulent, low sugar content (1 ~