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我院近１４年收治急性脓胸３５１例，其中行胸腔穿刺抽脓４２例，胸腔闭式引流８６例，病性清除、脓腔脏层纤维被膜剥脱术２２３例，全组无死亡。本文报告该组病例的治疗方法，重点讨论手术适应症和手术方法。指出除急性脓胸的早期，脓液稀薄，可行胸腔穿刺抽脓或胸腔闭式引流治疗外，原则上应积极行病灶清除，服腔脏层纤维被膜剥脱术治疗。提出该术式的适应症，并总结出手术以小切口吸净脓液，保护切口，然后扩大切口，刮除切口旁脓苔和坏死组织后撑开切口，继而再剥脓腔纤维被膜的方法。强调在施行手术的同时重视选用敏感被膜，足量的抗生素，以及原发病灶的处理和全身支持治疗的重要性。
In the past 14 years, 351 cases of acute empyema were treated in our hospital, including 42 cases of thoracentesis and pus, 86 cases of closed thoracic drainage, 223 cases of pathological debridement and fibrous membrane dissection of the pus cavity visceral layer, all without death. This article reports the treatment of this group of patients, focusing on surgical indications and surgical methods. Pointed out that in addition to the early acute empyema, pus lean, viable thoracentesis or pus thoracic drainage therapy, in principle, should actively remove the lesion, the service cavity visceral fibrous membrane stripping treatment. Put forward the indications of the operation, and concluded that the operation of a small incision suction net pus, protect the incision, and then expand the incision, curettage incision pus and necrotic tissue distraction incision, and then stripping pus cavity fiber capsule method . Emphasis is placed on the importance of selecting sensitive membranes, adequate antibiotics, and treatment of primary lesions and systemic supportive care while performing surgery.