开窗开胸术仍是治疗慢性脓胸的一种选择:来自艾德尔转诊医院的经验。

Q3 Medicine
Ethiopian Medical Journal Pub Date : 2016-01-01
Girmay Hagos, Reiye Esayas, Kibrom G/Selassie
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引用次数: 0

摘要

目的:慢性脓胸是一个严重的问题,往往难以控制。它的发病率在世界范围内有所下降,但在低收入和中等收入国家继续构成健康问题。本研究旨在评估被忽视的埃塞俄比亚慢性胸膜炎患者开窗治疗的结果。方法:2008年6月至2014年10月对35例患者进行回顾性研究,其中女性10例,男性25例,年龄30 ~ 70岁。这些慢性脓肿伴肺组织残留,伴或不伴支气管胸膜瘘,常规治疗方法无效的患者均行开窗开胸术。结果:原发脓胸16例,创伤后脓胸12例,开胸后脓胸7例。12例患者实现了自发闭合;单纯缝合18例;用肌肉瓣闭合5个病人。在所有患者中,腔内的分泌物在两到三周内清除,残留空间在七到九个月内缩小。所有的病人在手术后体重都增加了。结论:在常规治疗方法无效的情况下,胸腔开窗仍是治疗慢性脓胸的一种方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OPEN WINDOW THORACOSTOMY, STILL AN OPTION IN THE MANAGEMENT OF CHRONIC EMPYEMA: EXPERIENCE FROM AYDER REFERRAL HOSPITAL.

Objective: Chronic empyema is a serious problem and is often difficult to manage. Its incidence has dropped worldwide, but continues to pose health problems in low and middle income countries. This study has been conducted to assess the outcome of open thoracic window in patients with neglected chronic thoracic empyemain Ethiopian patients.

Methods: A six-year (June 2008 to October 2014) retrospective study was conducted on thirty five patients (ten females and twenty five males, age ranging from 30-70 years). Open window thoracostomy was performed on these patients for chronic empyema with residual lung tissue and with or without bronchopleural fistula who failed to respond to the conventional methods of treatment.

Results: The etiology was primary empyema in 16 patients, post-traumatic in 12 patients, and post-thoracotomy in seven patients. Spontaneous closure was achieved in 12 patients; simple closure was done on 18 patients; and closure with muscle flap in five patients. In all patients, the cavity cleared from secretions in two to three weeks and the residual space narrowed in seven to nine months. All patients gained weight following the surgery.

Conclusion: Our result has revealed that open thoracic window is still an alternative method for the treatment of chronic empyema when the conventional method of treatment fails.

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来源期刊
Ethiopian Medical Journal
Ethiopian Medical Journal Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
0
期刊介绍: The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.
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