Fibrinolytic treatment of complicated pediatric thoracic empyemas with intrapleural streptokinase
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چکیده
منابع مشابه
Fibrinolytic treatment of complicated pediatric thoracic empyemas with intrapleural streptokinase.
OBJECTIVE Proper antibiotic treatment and adequate pleural drainage is essential in successful management of pleural effusions. In complicated effusions the increased production of fibrin results in formation of loculations and septations within the thoracic cavity, leading ineffective chest tube drainage. Intrapleural fibrinolytic agents are employed to avoid thoracotomy in such complicated pl...
متن کاملThe systemic fibrinolytic activity of intrapleural streptokinase.
Intrapleural fibrinolytics probably improve the drainage of loculated pleural effusions and empyemas. Studies of crude indices of systemic coagulation suggest this effect is accompanied by little systemic fibrinolysis, but few studies have assessed this in detail. This study examines the systemic fibrinolytic activity of two intrapleural streptokinase (IPSK) regimes in detail. Eight patients re...
متن کاملUtility of intrapleural streptokinase in management of chronic empyemas.
BACKGROUND The nonsurgical medical approach with use of fibrinolytic agent is an alternative modality in management of chronic empyemas. With the introduction of purer forms of streptokinase, there has been renewed interest generated in the use of intrapleural thrombolytics with documented successful drainage of difficult to drain chronic empyemas. To evaluate the utility of streptokinase in th...
متن کاملTreatment of complicated parapneumonic pleural effusion with intrapleural streptokinase in children.
OBJECTIVE To evaluate the role of intrapleural streptokinase in the management of complicated parapneumonic effusions in children. DESIGN Prospective comparative study. SETTING Cheng Kung University Hospital, a tertiary medical center in Tainan, Taiwan. PATIENTS AND METHODS We enrolled as our prospective study group 20 consecutive children with complicated parapneumonic effusions who rece...
متن کاملIntrapleural streptokinase for the treatment of chylothorax.
Chylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleu...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2004
ISSN: 1010-7940
DOI: 10.1016/j.ejcts.2004.05.032