Pediatric Surgical treatment of 31 cases of acute empyema.doc

 PAGE \* MERGEFORMAT 5 Pediatric Surgical treatment of 31 cases of acute empyema [Abstract] Objective: To observe the surgical treatment of acute empyema. Methods: In addition to first select the use of antibiotics and general supportive care, the application of thoracic pleural drainage and decortication of early treatment of the two methods 31 cases of the disease. Results: The cure for 25 cases, cure rate 80%, worsening transferred in 3 cases, 3 cases gave up treatment, 9 patients were in the drainage of pleural decortication, with no deaths. Conclusion: closed thoracic drainage for pus thin, no packages and general worse case, pleural decortication surgery is simple, less invasive, can significantly shorten the course, to prevent complications such as chest deformity. [Keywords:] in children, acute empyema, surgery Clinical pediatric empyema is more common, many of pneumonia, if not treated early, can lead to lung surface fiber membrane, swelling of the lung ventilation, severe hypoxemia may occur, clinical must pay attention to [1]. Our hospital surgery since 2006 Year on January -2009 December, the main application of thoracic pleural drainage and decortication of early treatment of the disease two methods in 31 cases, achieve better results, are as follows. 1 Clinical data 1.1 General information: Acute empyema in children, 31 cases were diagnosed as thoracentesis, 20 females, 11 males and 25 cases of right side, left side in 6 cases, the oldest 13 years old, minimum 5 years old, 31 cases of bacterial culture Staphylococcus aureus infection in 30 cases. 1.2 Treatment: In addition to first select the use of antibiotics and general supportive care, the main application of pleural drainage and pleural decortication two methods. in the drainage in the treatment, while encouraging the patient conscious and more coughing, shot back, blowing balloons, increase lung expansion, vibration, chest wall, to facilitate adequate dra