Evaluation and management of pleural sepsis.

Evaluation and management of pleural sepsis.
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DOI:
10.1016/j.rmed.2021.106553
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发表时间:
2021-10
影响因子:
4.3
通讯作者:
Schembri F
Schembri F
中科院分区:
医学3区
文献类型:
--
作者:
Lui JK;Billatos E;Schembri F

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胸膜脓毒症源于胸膜腔内的感染,通常是由潜在的细菌性肺炎导致的胸膜旁积液。这种积液传统上分为单纯性、复杂性和脓胸。不良的临床结局和死亡率增加可能与腹膜旁积液的发生有关,这加强了早期识别和诊断的重要性。管理需要一个多模式的治疗策略,包括抗菌药物,导管/管胸廓造口术,有时,视频辅助胸腔镜手术。
Pleural sepsis stems from an infection within the pleural space typically from an underlying bacterial pneumonia leading to development of a parapneumonic effusion. This effusion is traditionally divided into uncomplicated, complicated, and empyema. Poor clinical outcomes and increased mortality can be associated with the development of parapneumonic effusions, reinforcing the importance of early recognition and diagnosis. Management necessitates a multimodal therapeutic strategy consisting of antimicrobials, catheter/tube thoracostomy, and at times, video-assisted thoracoscopic surgery.
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