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[Parapneumonic pleural effusion, pleural empyema: medical and surgical aspects].
- Source :
-
Schweizerische medizinische Wochenschrift [Schweiz Med Wochenschr] 1999 Apr 10; Vol. 129 (14), pp. 556-62. - Publication Year :
- 1999
-
Abstract
- The following are essential for prophylaxis and treatment of empyema: antibiotic therapy for pneumonia, based on susceptibility results; early detection of parapneumonic effusions (decubitus radiograph, sonography); immediate diagnostic thoracocentesis if a parapneumonic effusion is large, increasing despite antibiotic therapy, if it is associated with clinical deterioration or if empyema is suspected; assessment of the stage of parapneumonic effusion or empyema (clinical signs, sonography, CT, laboratory parameters); immediate therapeutic thoracocentesis of frank empyema, in loculated empyema fibrinolytic agents may be used; early surgical intervention if conservative management fails; complete thoracoscopic decortication, if necessary open thoracotomy to assure complete reexpansion of the lung.
- Subjects :
- Empyema, Pleural prevention & control
Empyema, Pleural therapy
Humans
Pleural Effusion diagnosis
Pleural Effusion therapy
Pneumonia diagnosis
Pneumonia surgery
Pneumonia therapy
Empyema, Pleural pathology
Empyema, Pleural surgery
Pleural Effusion pathology
Pleural Effusion surgery
Pneumonia pathology
Subjects
Details
- Language :
- German
- ISSN :
- 0036-7672
- Volume :
- 129
- Issue :
- 14
- Database :
- MEDLINE
- Journal :
- Schweizerische medizinische Wochenschrift
- Publication Type :
- Academic Journal
- Accession number :
- 10321008