| Autor: |
Danielian ShN, Abakumov MM, Voskresenskiï OV, Chernen'kaia TV |
| Jazyk: |
ruština |
| Zdroj: |
Khirurgiia [Khirurgiia (Mosk)] 2012 (3), pp. 4-10. |
| Abstrakt: |
The treatment results of the 286 patients with pleural empyem after thoracic injuries (n=107) and closed trauma of the pleural cavity (n=179) were retrospectively analyzed. The frequency of pleural empyem was 1.39% by injuries and 1.34% by the closed thoracic trauma. 15 (14%) patients of the first group developed the bronchopleural fistula, whereas the complication was observed in 32 (17.9%) patients of the second group. The adequate pleural drainage with intrapleural enzyme therapy in acute inflammation period allowed recovery in 78% and 71.9% of patients, respectively. Early videothoracoscopic sanation of the pleural cavity shortened the recovery time in more then 1.5 times. The chronization of the empyem was more often observed after the closed thoracic trauma - 14.5% rather than 6.5% after the open thoracic injury. The lethality rate by pleural empyem was 14% after the open injuries and 15.6% after the closed trauma. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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