ABSTRACT
The hematocrit change during cardiopulmonary bypass and postoperative period were studied in 34 patients, 15 females and 19 males ranging in age from 15-45 years mean 28 by using extracorporeal circulation (CPB) priming solution without blood. They were 10 patients of congenital heart disease and 24 patients of acquired heart disease. In extracorporeal circuit, priming perfusate composed mainly of Ringer’s lactate solution approximately 1,500-2,000 ml. was reinfused in the form of pack red cells by centrifugation. The result, hematocrit change during CPB was 26-28%, after CPB 1 hour for 6 times and everyday for 7 days hematocrit was 29.67-35.50%. We concluded that hemodilution technique develop mild anemia during CPB but it was be saved for open heart surgery by requiring no blood replacement.
ABSTRACT
During 1982-1984} fifty-five patients with empyema thoracis were treated at Surgical Department of Srinagarind Hospital and Khon Kaen Hospital. The chief compliants were fever (61.1%), Cough (47.06%), Chest pain (32.20%) and dyspnea (25.42%). Postpneumonia, TB. and chest chest trauma were the main caused of empyema thoracis. The pathogenic bacteria were Pseudomonas auroginosa (30.50%), staph. Aureus (21.03%), Acenetobacter sp. (8.47%) and Klebsiella sp. (6.78%) respectively. Surgical treatment consisted of 54 decortication, 4 rib resection and 1 intercostal drainage. There were postoperative complication in 25.4% of patients, mostly were infection and there was no death. The average admission time was 2-8 weeks.