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目的探讨高负压胸腔闭式引流治疗慢性脓胸的效果。方法回顾性分析九江市解放军171医院心胸外科2006年5月至2012年5月收治的38例慢性感染性脓胸患者的临床资料,其中男26例、女12例,年龄7~61(41.2±7.4)岁,分析采用高负压胸腔闭式引流治疗的效果。结果 35例患者接受高负压胸腔闭式引流治愈,3例另外行局部胸膜纤维板剥脱术,全部患者康复,治疗后检查原胸内脓腔无残腔闭合,肺功能显著改善。无1例行胸廓成形术。全组患者住院时间(31.40±17.65)d。无并发症发生。随访1~5年无复发。结论高负压胸腔闭式引流是治疗慢性脓胸的有效手段。
Objective To investigate the effect of closed chest drainage with high vacuum on chronic empyema. Methods The clinical data of 38 patients with chronic infectious empyema admitted from May 2006 to May 2012 in the Department of Cardiothoracic Surgery, People ’s Liberation Army 171 Hospital, Jiujiang City were retrospectively analyzed. Among them, 26 were males and 12 were females, ranging in age from 7 to 61 (41.2 ± 7.4) years old, analyzed the effect of closed chest drainage with high-pressure chest. Results Thirty-five patients were cured by high-pressure closed thoracic drainage and 3 patients underwent partial pleural fibrolysis. All patients recovered. After treatment, no residual cavity was found in the original intrathoracic abscess and lung function was significantly improved. No routine thoracoplasty. All patients in hospitalization time (31.40 ± 17.65) d. No complications occurred. Follow-up 1 to 5 years without recurrence. Conclusion High-pressure closed thoracic drainage is an effective treatment for chronic empyema.