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2016, Number 2

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Rev Cub Med Int Emerg 2016; 15 (2)

Treatment of the complicated paraneumonic pleural effusion in children

Piriz-Assa AR, Trinchet-Soler R, Tapia ÁM, Laforte FL

Language: Spanish
References: 22
Page: 42-52
PDF size: 402.14 Kb.


ABSTRACT

Introduction: Children who suffer from complicated paraneumonic pleural effusion must be considered seriously ill. At present this treatment tends to be very controversial. There are different methods to treat according to regions, countries and technical conditions of the clinics.
Objective: To observe the results of the progress in patients applying different ways of treatment.
Method: An observational and analytic research was carried out in 103 patients under eighteen, these patients were diagnosed to suffer from complicated paraneumonic pleural effusion they were diagnosed by X-rays, echogram, and clinically from January 1999 to January 2014. They were divided into three different groups to compare their results.
Results: Early cleaning of the pleural cavity using the video thoracoscopy surgery can reduce the time that patients stay at the hospital and the use of antibiotics. This method helps reducing the pulmonary and extrapulmonary complications, and having to undergo several operations. Improvement through radiology is a lot faster using video thoracoscopy surgery.
Conclusions: Excellent results are obtained when the video thoracoscopy surgery is used. This means shorter stay at the hospital; pulmonary and extrapulmonary complications are reduced; as well as having to undergo operation.


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