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小兒膿胸에 對한 臨床的 觀察

Empyema in Childhood

경북의대잡지 1975년 16권 2호 p.1 ~ 6
이성구,
소속 상세정보
이성구 (  ) - 경북대학교 의과대학 흉부외과학교실

Abstract


A clinical obserbation was made on 31 cases of empyema in childhood, under age of 15 years, seen at Kyungpook University Hospital between 1965, and 1974.
1) Twenty-nine per cent was under 2 years of age.
2) Twenty-two patients were boys(71.0%) and 9 were F;eirls giving a proprtion of male and female, 2.4: 1.
3) Duration of illness from the date of onset of empyema prior to admission were varied from a week to 12 weeks, of which 41 per cent was in less then 1 week.
4) Of eighteen cases(58.1%) confirmed its etiologic organism, staphylococcal empyema was 66. T per cent, and poeumococcal empyema was 22.2 per cent,
5) Of nine cases(29.0%) of empyema eombined with pneumothorax, five cases (55.6%) were of staphylococcus aureus, and of 12 cases of staphylocca~l empyema, five cases(41.7%) were combined with pneumothorax.
6) ln the result of treatment of these series, fifteen caws (48.4%) were treated with repeated. thoracentesis, nine cases(29.0%) with closed thoracotomy, three cas~s(9.7%) with open drainage and 2 cases (6.5%) with surgical decortication.
7) Mortality rate was 3.2 per cent.

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