Abstract：
Empyema of the lung is an infection-induced collection of fluid in the chest cavity. Clostridium perfringens is a bacterium that inhabits the intestine and is a rare cause of empyema after abdominal surgery. A slow phase of infection, associated with C. perfringens empyema, has previously been reported in cases of similar infections. Herein, we present a case of C. perfringens empyema following abdominal surgery. The empyema was initially managed using oxygen supplementation, fluid drainage and antibiotic therapy.This initial therapy failed in the present case because multiple collections of infected fluid prevented the lungs from expanding, requiring decortication, a pulmonary operation to remove the inflammatory tissue from the walls of the lung and associated with the infection, to allow the lung to expand. Following this operation, the patient recovered baseline levels of breathing and oxygen supplementation.
摘要：
肺脓胸是感染引起的胸腔积液。产气荚膜梭菌是一种生活在肠道中的细菌，是腹部手术后脓胸的罕见原因。感染的缓慢阶段，与产气荚膜梭菌脓胸有关，以前曾报道过类似感染的病例。在这里，我们介绍了一例腹部手术后产气荚膜梭菌脓胸的病例。脓胸最初是通过补充氧气来管理的，液体引流和抗生素治疗。这种最初的治疗在目前的情况下失败，因为感染液体的多次收集阻止了肺部扩张，需要剥皮，从肺壁去除与感染相关的炎症组织的肺部手术，让肺扩张.在此操作之后,患者恢复了呼吸和氧气补充的基线水平.
