Intrapleural streptokinase in a two-year-old child with a parapneumonic effusion.
Indian J Chest Dis Allied Sci
;
2001 Jul-Sep; 43(3): 165-8
Artículo
en Inglés
| IMSEAR
| ID: sea-29541
ABSTRACT
A two-year-old child was hospitalised with features of parapneumonic effusion. He was initially managed with parenteral antibiotics and chest tube drainage. After three days drainage became insignificant inspite of chest tube being patent and appropriately positioned. CT scan of chest showed multiloculated effusion. In view of multiloculated effusion it was decided to try intrapleural fibrinolysis with streptokinase. Streptokinase in a dose of 1,25000 IU dissolved in 50 ml of normal saline was instilled through the chest tube daily. After instilling three doses, there was a significant increase in the drainage followed by almost complete radiological resolution. There were no side effects. Intrapleural streptokinase is a useful adjunctive threapeutic modality in the management of complicated parapneumonic effusion or empyema in paediatric patients.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Derrame Pleural
/
Estreptoquinasa
/
Instilación de Medicamentos
/
Humanos
/
Masculino
/
Esquema de Medicación
/
Tomografía Computarizada por Rayos X
/
Tubos Torácicos
/
Preescolar
/
Drenaje
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Indian J Chest Dis Allied Sci
Año:
2001
Tipo del documento:
Artículo
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