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韓國에 있어서 膿胸의 原因的究明과 治療에 對한 考察

A Study of the Etiology and Treatment for Empyema ´oracis in Korea

부산의대잡지 1966년 6권 1호 p.113 ~ 121
成恒然, 文南朮, 安鐘完,
소속 상세정보
成恒然 (  ) - 釜山大學校醫科大學 胸廓外科
文南朮 (  ) - 釜山大學校醫科大學 胸廓外科
安鐘完 (  ) - 釜山大學校醫科大學 胸廓外科

Abstract


To evaluate the etiologic factors and managements of empyema thoracis in Korea, author studied 152 cases of empyema thoracis, hospitalized at the Chest Surgery Department of Pusan National University Hospital in the past 6 years between Jan. 1961 and Dec. 1965.
1. About the etiology of empyema thoracis, 57.2% was pyogenic origin and the majority of their causative organisms were staphylococci, and about 50% of the pyogenic empyema was found under the age of 10 years.
2. 30. 9% of the empyema thoracis was tuberculous origin, and it was rather high incidence in Korea and they were found more frequently under the 10 years old children and in 20 to 30 years old age group.
3. It was noteworthy to see that parasitic empyema, such as amoebic or paragonimiasis origin, was found 4. 7% and its incidence was very high compared with other countries. They were found above 20 years old age group.
4. The staphylococci are usually resistant to Penicillin and Streptomycin, and in recent years, appear to be developing resistance to Erythromycin and Chloramphenicol and even to Albamycin.
5. In acute stage of the process, there were a great numbers of patients of incomplete lung expansion or reaggravation who were treated by conservative method, such as multiple thoracenthesis or antibiotics only, and as these bacterial species become more resistant to antibiotics, the closed drainage assumes greater importance in early stage.
6. In chronic stage of empyema thoracis, deco tication was the pre-educe of choice for the treatment of the empyema without parenchymal damage, and thoracoplasty or pleuropneumonectomy was per formed to those patients complicated with bronchopleural fistula or severe parenchymal damage.

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