Empyema Thoracis

Autor: Ala Eldin H. Ahmed, Tariq E. Yacoub
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine, Vol 4 (2010)
Druh dokumentu: article
ISSN: 1179-5484
DOI: 10.4137/CCRPM.S5066
Popis: Epmyema thoracis is associated with high mortality ranging between 6% to 24%. The incidence of empyema is increasing in both children and adults; the cause of this surge is unknown. Most cases of empyema complicate community- or hospital-acquired pneumonia but a proportion results from iatrogenic causes or develops without pneumonia. Parapneumonic effusions (PPE) develop in about one half of the patients hospitalized with pneumonia and their presence cause a four-fold increase in mortality. Three stages in the natural course of empyema have long been described: the exudative, fibrinopurulent, and organizing phases. Clinically, PPE are classified as simple PPE, complicated PPE, and frank empyema. Simple PPE are transudates with a pH > 7.20 whereas complicated PPE are exudates with glucose level
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