Şevval EREN, Refik ÜLKÜ, Serdar ONAT, M. Nesimi EREN, Akın Eraslan BALCI

Çocuk ampiyemlerinde tedavi: Kapalı su altı drenajı ve dekortikasyon

Başlangıç tedavisi olarak, kapalı toraks drenajı (KTD) uygulanan 497 postpnömonik ampiyemli çocuk değerlendirildi. Aynı anda birden fazla dren taşıyan hastalar %3.6; tedavi sürecinde birden fazla dren uygulananlar %7.8 oranındaydı. Drenajın başarısız olduğu 106 hastada dekortikasyon yapıldı (%21.3). En sık operasyon endikasyonları tuzaklanmış akciğer ve persistan-multipl pleural postu (%91.5). Operasyon öncesi KTD süresi T 1.6 gündü. Üç çocukta rezeksiyon gerekti (%2.8). Postoperatif hastane süresi 7.4 gündü. Dekortikasyon grubunda mortalite yoktu, diğer grupta %1.5 oldu. Bir yıllık izlem periyodunda, tam akciğer ekspansiyonu, KTD ile tedavi edilenlerde %78; dekortikasyon geçirenlerde %90.5 olarak bulundu. Her iki gruptaki hastaların büyük kısmı 17-20 gün içinde taburcu edildi.

Treatment in childhood empyema: Closed tube drainage and decortication

Four-hundred-ninety-seven children with postpneumonic empyema treated with closed tube drainage (CTD) initially were rewieved. The rate of simultaneous drains was 3.6%; more drains during hospitalisation was %7.8. Decortication wasper-formed in 106 patients luith CTD failure (21.3%). The most frequent indications were trapped lung and persistant-multiple pleural spaces (91.5%). Preoperative CTD period was 11.6 days. Resection was required in three children (2.8%). Postoperative hospital stay was 7.4 days. No mortality in decortication group, but 1.5% in other. Full lung reexpansion was observed 78% in CTD group; 90.5% in decortication group. Most of every two groups patiens were discharged in 17-20 days.

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