| Surgical treatment of pediatric lung abscess. | |
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MedLine Citation:
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PMID: 9099649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Eight pediatric patients with lung abscesses underwent surgical intervention in our hospital during a 7-year period. All the abscesses were associated with severe sepsis or complicated by a bronchopleural fistula that did not respond to medical treatment and tube thoracostomy. Seven patients required unilateral thoracotomies, and one patient with bilateral lesions required simultaneous bilateral thoracotomies. One tension pneumatocele required a preceding pneumonostomy. All patients underwent decortication and at least one additional surgical procedure consisting of: lung debridement plus bronchial closure (n = 4); lobectomy (n = 2); bisegmentectomy (n = 3); and/or segmentectomy (n = 1). There were no operative deaths, but two patients had persistent air leakage that was treated by bronchial closure. The average hospital stay was 22 days (postoperative 10.1 days). All the patients recovered completely. For many pediatric lung abscesses that do not respond to medical treatment and simple drainage procedures, surgical intervention is indicated and can shorten the hospital stay. |
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Authors:
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M H Wu; Y L Tseng; M Y Lin; W W Lai |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric surgery international Volume: 12 ISSN: 0179-0358 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 1997 Apr |
Date Detail:
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Created Date: 1997-06-11 Completed Date: 1997-06-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: GERMANY |
Other Details:
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Languages: eng Pagination: 293-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, National Cheng-Kung University Hospital, No 138, Sheng-Li Road, Tainan, Taiwan, Republic of China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bronchial Fistula
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complications Child, Preschool Debridement Female Fistula / complications Humans Lung Abscess / complications, surgery* Male Pleural Diseases / complications Pneumonectomy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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