Empyema management protocol
نویسندگان
چکیده
منابع مشابه
Surgical management of empyema.
HISTORICAL BACKGROUND: Thoracic surgery as a specialty had its beginning in the surgical treatment of pulmonary tuberculosis and its pleural space problems. This began with using sand bags and positioning of patients with the diseased side down. Fowler (1893) and Delorme (1894) were the first physicians to describe how to free the entrapped lung and in 1886 Delorme first used the term decortica...
متن کاملEmpyema thoracis: management outcome.
BACKGROUND Empyema thoracis results from postpneumonic effusion of bacterial origin or trauma. If untreated it may convert to fibro-purulent or an organising stage. METHODS This study was conducted at cardiothoracic unit of Ayub Teaching Hospital Abbottabad from Jan 2008 to Aug 2009. Patients with diagnosis of empyema thoracic were studied. Their clinical features and investigations were reco...
متن کاملThe management of tuberculous empyema.
Tuberculous empyema is usually caused by rupture of a subpleural parenchymal focus through the visceral pleura. The immediate result of such a rupture is the occurrence of hydrothorax, the so-called idiopathic pleural effusion. In most instances, particularly with adequate drug treatment, the site of rupture seals. The fluid is then absorbed or removed by thoracentesis and the lung re-expanded,...
متن کاملIntrapleural streptokinase in the management of empyema.
BACKGROUND Significant morbidity and mortality result from the ineffective evacuation of empyema. Failure of conventional first line treatment with closed intercostal tube drainage and antibiotic therapy may result in fibrin deposition and loculated empyema. Enzymatic debridement using intrapleural instillation of streptokinase is a non-invasive therapeutic option which may obviate the need for...
متن کاملIntrapleural fibrinolytics in management of empyema thoracis.
STUDY OBJECTIVE To determine the success and complication rates of fibrinolytic therapy (FL) in the treatment of thoracic empyema. DESIGN AND PATIENTS Between December 1992 and November 1994, all patients referred with empyema thoracis (ET) were offered FL. FL consisted of streptokinase (275,000 +/- 170,000 IU) or urokinase (121,000 +/- 57,000 IU) daily for a mean of 6.2 +/- 2.1 days. SETTI...
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ژورنال
عنوان ژورنال: Indian Journal of Surgery
سال: 2008
ISSN: 0972-2068,0973-9793
DOI: 10.1007/s12262-008-0059-z