目的　探讨亚急性脓胸早期纤维板剥脱术的临床疗效。方法　对 5 1例亚急性脓胸在早期行脏层纤维板剥脱术 ,对病人的临床表现、影像学检查和术中发现进行分析。结果　全组术后肺完全复张 ,脓腔清除 ,随诊 3mo～ 10a无胸廓塌陷 ,平均住院 2 1d痊愈出院。结论　亚急性脓胸有脏层胸膜增厚 ,采取早期纤维板剥脱术 ,可缩短治疗时间 ,提高治愈率 ,减少远期并发症。 Objective To investigate the clinical efficacy of early fibrinolytic exfoliation in subacute empyema. Methods 51 cases of subacute empyema in the early implementation of visceral fibrin exfoliation, the clinical manifestations, imaging and intraoperative findings were analyzed. Results The whole group of lung surgery completely reexpired, abscess clearance, followed up for 3mo ~ 10a without thoracic collapse, the average hospitalized 21d discharged. Conclusion Subacute empyema has visceral pleura thickening, and the early fibrillation can shorten the treatment time, improve the cure rate and reduce the long-term complications.