Clinical Study of Empyema Thoracis / 영남의대학술지
Yeungnam University Journal of Medicine
;
: 87-94, 1986.
Article
in Korean
| WPRIM
| ID: wpr-184540
ABSTRACT
Empyema thoracis following pneumonia, intra-abdominal pathology, trauma, and surgical procedure continues to be a source of major morbidity and mortality. Thirty seven adult and eleven pediatric patients with empyema thoracis were treated at the University of Yeungnam Medical Center from May 1983 to November 1986. Age distribution ranged from 6 months to 72 years and showed a double-peaked curve with the highest incidence between 36 and 65 years and below 15 years of age. There were male predominance in patients above 16 years of age. The most common predisposing factors was impaired consciousness due to either alcoholism or head injury. The causes of empyema were as follows pneumonia 64.6%, ling abscess 6.4%, intraabdominal pathology 6.4%, and surgical procedure 6.4%. The cardinal symptoms were fever, cough, chest pain, dyspnea, sputum, weight loss, anorexia, and night sweat in orders. Culture of empyema fluid were positive in 50% of patients. The isolated organisms were Gram-negative bacilli 33.3%, staphylococcus aureus 25%, and streptococcus 25%. The patients received antibiotics in conjunction with various invasive procedures chest tube drainage 77.1%, decortications 6.3%, and repeated thoracentesis 10.3%. There were 4 deaths, 1 child and 3 adults, with an overall mortality of 8.3%.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Pneumonia
/
Sputum
/
Staphylococcus aureus
/
Streptococcus
/
Sweat
/
Chest Pain
/
Weight Loss
/
Anorexia
/
Chest Tubes
Type of study:
Incidence study
/
Prognostic study
Limits:
Adult
/
Child
/
Humans
/
Male
Language:
Korean
Journal:
Yeungnam University Journal of Medicine
Year:
1986
Type:
Article
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