| Autor: |
G Unikrishnan, R Rathore, Virendra Kumar, R Anand, G Sethy |
| Jazyk: |
angličtina |
| Rok vydání: |
2004 |
| Předmět: |
|
| Zdroj: |
Journal of Nepal Medical Association, Vol 43, Iss 152 (2004) |
| ISSN: |
0028-2715 |
| Popis: |
Empyema thoracis continues to remain a serious complication of Pneumonia in children. A number ofstudies are available on demographics, etiology and treatment of empyema but no useful information isavailable on hemodynamic changes occurring in response to acute empyema. Therefore we aimed to evaluatethe serial haemodynamic changes in children with acute empyema and their correlation with severity andout come of the disease.Serial haemodynamic changes were studied prospectively in 25 children with acute empyema before andafter the placement of chest tube and subsequently on day 1, 2, 3 and 10 of hospitalization. Twenty-five ageand sex matched children served as their controls.Their age ranged from 8 months to 12 years (mean 4.2 years). Severity of empyema was graded as mild,moderate and severe in 11, 6 and 8 children respectively. Staphylococcus aureus was the commonestorganism isolated in 11 children. At admission all the children were febrile (mean temp 39.4C) hadtachycardia (mean HR136/mt) and tachypnea (mean RR 62/mt).While CVP was high (10.2? 4cm H2O), thesystolic (102 ? 4mmHg) and mean arterial pressure(77? 3mmHg) was at lower side as compared to theircontrols.The mean changes observed after the chest tube placement were HR- 6/mt; RR - 4.44/ mt; SBP+5mmHg; DBP +2.04mmHg; MAP +3mmHg and CVP-3.1cm H2o (p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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