Evaluation and management of pleural sepsis

被引：3

作者：

Lui, Justin K. ^{[1
]}

Billatos, Ehab ^{[1
]}

Schembri, Frank ^{[1
,2
]}

机构：

[1] Boston Univ, Pulm Ctr, Sch Med, 72 East Concord St,R-304, Boston, MA 02118 USA

[2] South Shore Hosp, South Weymouth, MA USA

来源：

RESPIRATORY MEDICINE | 2021年 / 187卷

关键词：

Pleural effusions; Empyema; Pleural disease; Sepsis; Sepsis syndrome; TISSUE-PLASMINOGEN ACTIVATOR; ACUTE RESPIRATORY-FAILURE; FUNGAL EMPYEMA-THORACIS; END-EXPIRATORY PRESSURE; INTENSIVE-CARE-UNIT; INTRAPLEURAL INSTILLATION; BRONCHOPLEURAL FISTULAS; ULTRASOUND ESTIMATION; CONTROLLED-TRIAL; CHEST TUBE;

D O I：

10.1016/j.rmed.2021.106553

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：6

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