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1982~1994年,我科共收治金黄色葡萄球菌(金葡菌)脓胸21例,皆为呼吸道感染并发症。在采用抗感染及间歇负压闭式引流同时,每日肌注糜蛋白酶,既避免局部胸腔注射可能引起全身严重反应,又解决粘稠脓液引流困难,缩短病程,疗效显著。现报告如下。 临床资料 一、临床资料 本组男13例,女8例,年龄8月~14岁,平均7.56岁。均有弛张热或不规则发热,咳嗽,气促,少数病例全身中毒症状明显。体检:患侧肋间隙饱满,语颤减弱,叩诊实音,肺部呼吸音减
From 1982 to 1994, our department received a total of 21 cases of empyema of Staphylococcus aureus (Staphylococcus aureus), all of which were complications of respiratory tract infection. In the use of anti-infection and intermittent negative pressure drainage at the same time, daily muscle chymotrypsin, both to avoid local chest injection may cause serious systemic reactions, but also to solve the difficulty of viscous pus drainage, shorten the course of the disease, the effect is significant. The report is as follows. Clinical data First, clinical data The group of 13 males and 8 females, aged from August to 14 years, an average of 7.56 years. All have fever or irregular fever, cough, shortness of breath, a small number of cases of systemic poisoning symptoms. Physical examination: ipsilateral intercostal space fullness, weakened tremor, percussion real tone, reduced lung breath