management of thoracic empyema: review of 112 cases
نویسندگان
چکیده
to review our experience in treatment of patients with thoracic empyema at a teaching hospital chart of patients were retrospectively reviewed over a 72-month period. a total of 112 patients (94 men, 18 women, mean age: 39, range: 6-89 years) underwent therapeutic procedures for thoracic empyema between 2001-2006. the causes of empyema included parapneumonic empyema (60.7%), thoracic trauma (20.5%), surgical procedures (7.1%) and seeding from an extra-pulmonary source (11.7%). multiloculated empyemas were documented in 45 patients (40%). insertion of chest tube was the first procedure in 103 patients (92%). nineteen patients (17%) were treated by thoracotomy, ten patients (8.9%) had fibrinolytic therapy, eight patients (7.2%) underwent video assisted thoracic surgery (vats) and sixteen patients (14.3%) had subsequent radiologic-guided drainage. thoracotomy-decortication was successful in 90% of patients undergoing surgery and the least successful intervention was tube thoracostomy alone. twelve of 112 patients (10.7%) died in the hospital including one patient in the thoracotomy group. long-term follow-up was available in 67 patients including all of patients requiring surgery and fibrinolytic therapy. thirty four patients (50%) obtained complete functional recovery. simple drainage as the first procedure for the treatment of thoracic empyema has a high failure rate. selection of a therapeutic option should be based on age, underlying disease, stage of the empyema, state of the loculation, local expertise and availability. surgical procedures such as vats or thoracotomy are recommended as the first procedure in elderly patients and advanced empyema.
منابع مشابه
Management of thoracic empyema: review of 112 cases.
To review our experience in treatment of patients with thoracic empyema at a teaching hospital chart of patients were retrospectively reviewed over a 72-month period. A total of 112 patients (94 men, 18 women, mean age: 39, range: 6-89 years) underwent therapeutic procedures for thoracic empyema between 2001-2006. The causes of empyema included parapneumonic empyema (60.7%), thoracic trauma (20...
متن کاملEvaluation of thoracic trauma in dogs and cats: a review of seventeen cases
The objective of this study was to assess the etiology, diagnosis, treatment methods, surgical findings, postoperative results and necropsy findings of seventeencases of thoracic traumaby evaluating medical records. A car accident, falling down, stabbing and bites were identified asthe causes of trauma. Diagnosed pathologies in the cases included pneumothorax, hemothorax, pulmonary contusion, l...
متن کاملEarly video-assisted thoracic surgery in the management of empyema.
OBJECTIVE The appropriate timing, as well as the type of intervention, for the treatment of empyema in children is controversial. The advent of video-assisted thoracic surgery (VATS) has changed the way we treat these children. Therefore, we reviewed our experience with the early use of VATS in the treatment of empyema and formulated a treatment algorithm. METHODS We retrospectively reviewed ...
متن کاملThoracic Blastomycosis and Empyema
Blastomycosis is endemic in river valley areas of the southeastern and Midwestern United States. Pulmonary manifestations include chronic cough and pleuritic pain. Radiographic appearance of the infection can mimic bronchogenic lung carcinoma. Pleural effusion is rarely associated with this pulmonary infection, and empyema has not been previously reported. We report a case of pulmonary and pleu...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
acta medica iranicaجلد ۵۰، شماره ۳، صفحات ۲۰۳-۲۰۷
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023