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1981年11月~1992年1月,本院共诊治胸椎结核椎旁脓肿破入胸腔穿入肺脏23例,报告如下。一、临床资料本组男17例,女6例。年龄2~67岁,平均34.8岁。病灶位于T_(4~10)20例(87%),同时累及L_(1,2)者3例(13%)。并发截瘫6例,脓肿穿入左侧胸腔2例(8.7%),右侧21例(91.3%);穿入肺脏10例(43.5%)。住院期间脓肿穿入胸腔引起急性脓胸者4例(17.4%)。二、讨论①诊断:椎旁脓肿一般呈梭形。横径不
From November 1981 to January 1992, our hospital treated 23 patients with thoracic paravertebral paravertebral abscess and penetrated the thorax into the lungs. The report is as follows. First, clinical data The group of 17 males and 6 females. Age 2 to 67 years old, with an average of 34.8 years old. Tumors were located in T_ (4 ~ 10) 20 cases (87%), involving L_ (1,2) in 3 cases (13%). There were 6 cases with paraplegia, 2 cases (8.7%) with abscess penetrating the left chest, 21 cases (91.3%) with right abscess and 10 cases (43.5%) penetrating the lung. Four cases (17.4%) of acute empyema caused by abscess penetrating into the chest during hospitalization. Second, the discussion ① diagnosis: paravertebral abscess generally spindle. Diameter does not