EARLY DECORTICATION FOR POSTPNEUMONIC EMPYEMA IN CHILDREN - EFFECT ON PULMONARY PERFUSION

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dc.contributor.authorEREN, N
dc.contributor.authorOZCELIC, C
dc.contributor.authorENER, BK
dc.contributor.authorOZGEN, G
dc.contributor.authorSOLAK, H
dc.contributor.authorBALCI, AE
dc.contributor.authorTAS, S
dc.date.accessioned2024-04-24T17:20:33Z
dc.date.available2024-04-24T17:20:33Z
dc.date.issued1995
dc.departmentDicle Üniversitesien_US
dc.description.abstractEarly pulmonary decortication was performed on 66 of 137 children with postpneumonic empyema, while 71 received conventional treatment. The mean age of the 66 patients with decortication was 5.5 years (range 6 months-14 years). The empyema was left-sided in 34 and right-sided in 32. Decortication was performed when lung expansion was not obtained after 10-12 days of intercostal tube drainage, antibiotic therapy (guided by sensitivity tests of pleural fluid) and pleural irrigation. Scintigraphy showed loss of pulmonary perfusion on the side of empyema to be 65% +/- SD 20 (25-98)% before decortication in the 23 tested patients. In ten of them the test was repeated after surgery and showed;significant (p < 0.001) diminution of the perfusion defect, from 57 +/- 6.8 (25-84)% to 4 +/- 2.6 (0-8)%. The hospital stay was significantly (p < 0.001) shorter for the surgically treated than for the classically managed patients, viz. 19.5 +/- 4 (13-36) days vs 73.6 +/- 14 (34-110) days. Early decortication thus had beneficial effects on pulmonary perfusion and hospital stay.en_US
dc.identifier.doi10.3109/14017439509107218
dc.identifier.endpage129en_US
dc.identifier.issn0036-5580
dc.identifier.issue3en_US
dc.identifier.pmid8614780
dc.identifier.scopus2-s2.0-0028880939
dc.identifier.scopusqualityN/A
dc.identifier.startpage125en_US
dc.identifier.urihttps://doi.org/10.3109/14017439509107218
dc.identifier.urihttps://hdl.handle.net/11468/19121
dc.identifier.volume29en_US
dc.identifier.wosWOS:A1995TF06900006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherScandinavian University Pressen_US
dc.relation.ispartofScandinavian Journal of Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildhood Empyemaen_US
dc.subjectPulmonary Decorticationen_US
dc.subjectPulmonary Perfusion Scintigraphyen_US
dc.titleEARLY DECORTICATION FOR POSTPNEUMONIC EMPYEMA IN CHILDREN - EFFECT ON PULMONARY PERFUSIONen_US
dc.titleEARLY DECORTICATION FOR POSTPNEUMONIC EMPYEMA IN CHILDREN - EFFECT ON PULMONARY PERFUSION
dc.typeArticleen_US

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