Table of Contents

HK J Paediatr (New Series)
Vol 14. No. 1, 2009

HK J Paediatr (New Series) 2009;14:16-21

Review Article

The Management of Paediatric Empyema
兒科膿胸治療

AA Yousef, A Jaffe


Abstract

Empyema is a recognised complication of bacterial pneumonia in children. It is a very different disease compared to that seen in adults as mortality is very rare, but it is associated with significant morbidity. The management of empyema in children is largely dependent on local centre expertise and physician bias as there are limited studies to guide best management. Recent properly controlled studies have attempted to address this. Fortunately, whichever treatment approach a physician chooses, the clinical outcome is usually excellent. This review summarises the causes, diagnostic issues and different management options available for a child with empyema.

膿胸是兒童細菌性肺炎公認的併發症。與成人膿胸相比,它是一個很不同的疾病,因其有顯著的發病率,但死亡率罕見。因少有研究指導最佳的治療,兒童膿胸的治療大部分依賴於當地醫療中心專家的經驗及內科醫生的偏好。最近嚴格的對照研究嘗試回答這個問題。值得慶幸的是,無論內科醫生選擇哪種治療方案,臨床結果都是極佳的。這篇綜述總結了兒童膿胸的原因、診斷問題及多個可選的合適治療方案。

Keyword : Empyema; Fibrinolytics; Parapneumonic effusion; Video-assisted thoracoscopic surgery

關鍵詞:膿胸、纖溶劑、肺炎旁積液、視像協助胸腔鏡手術

 
 

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