| Management of postpneumonic empyemas in children. | |
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MedLine Citation:
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PMID: 18557145 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The optimal treatment of children with empyema remains controversial. The purpose of this clinical retrospective study was to assess different treatment options in the management of postpneumonic pediatric empyemas. METHODS: From April 1997 to October 2005, 111 consecutive children (57 boys and 54 girls) were managed for pleural empyema. The mean age was 7.07 years (range: 18 months-14 years). Patients were divided into 3 groups depending on the treatment received: group I, chest tube alone (n = 89); group II, chest tube with fibrinolytics (n = 22); group III, thoracotomy with decortication (n = 19, consisting of 9 patients of group I and 10 of group II with unsuccessful treatment results). RESULTS: Chest tube alone, chest tube with fibrinolytics, and thoracotomy with decortication had complete response rates of 89.9%, 54.5%, and 100%, respectively. The hospital stay was 11.46 +/- 3.79 days for group I, 9.08 +/- 2.07 days for group II, and 6.32 +/- 2.54 days for group III. There was no statistically significant difference between group I and group II with regard to hospital stay (P = 0.040). Mild pain occurred in 4 children of group II after streptokinase instillation. Only one atelectasis appeared in group III during the postoperative period. CONCLUSION: Chest tube drainage is a safe, effective primary treatment of postpneumonic pediatric empyema. In cases where it is insufficient, thoracotomy with decortication can be used successfully with low morbidity and mortality rates. |
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Authors:
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R Demirhan; A Kosar; I Sancakli; H Kiral; A Orki; B Arman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 108 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2008 Mar-Apr |
Date Detail:
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Created Date: 2008-06-17 Completed Date: 2008-09-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 208-11 Citation Subset: IM |
Affiliation:
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Lutfi Kirdar Kartal Training and Research Hospital, Department of Thoracic Surgery, Erenkoy, Istanbul, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Chest Tubes Child Child, Preschool Empyema, Pleural / etiology, therapy* Female Fibrinolytic Agents / administration & dosage Humans Infant Male Pneumonia / complications Retrospective Studies Thoracostomy Thoracotomy |
| Chemical | |
Reg. No./Substance:
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0/Fibrinolytic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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