Parapneumonic pleural effusion: early versus late thoracoscopy

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Parapneumonic pleural effusion: early versus late thoracoscopy

OBJECTIVE To evaluate the best time to perform thoracoscopy for the treatment of complicated parapneumonic pleural effusion in the fibrinopurulent phase in patients ≤ 14 years of age, regarding the postoperative evolution and occurrence of complications. METHODS This was a retrospective comparative study involving patients with parapneumonic pleural effusion presenting with septations or locu...

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Treatment of complicated parapneumonic pleural effusion and pleural parapneumonic empyema

BACKGROUND We performed this observational prospective study to evaluate the results of the application of a diagnostic and therapeutic algorithm for complicated parapneumonic pleural effusion (CPPE) and pleural parapneumonic empyema (PPE). MATERIAL/METHODS From 2001 to 2007, 210 patients with CPPE and PPE were confirmed through thoracocentesis and treated with pleural drainage tubes (PD), fi...

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Pathogenesis of parapneumonic pleural effusion

Pneumonia is the second most common cause of pleural effusion. The presence of pleural fluid makes the prognosis in patients with pneumonia worse and causes a higher mortality rate. This is why it is very important to undertake suitable treatment as soon as possible. Most parapneumonic pleural effusions resolve with antibiotic alone, but sometimes more invasive treatment is necessary. Therapeut...

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Parapneumonic pleural effusion and empyema.

At least 40% of all patients with pneumonia will have an associated pleural effusion, although a minority will require an intervention for a complicated parapneumonic effusion or empyema. All patients require medical management with antibiotics. Empyema and large or loculated effusions need to be formally drained, as well as parapneumonic effusions with a pH <7.20, glucose <3.4 mmol/l (60 mg/dl...

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OBJECTIVE To determine the efficacy of thoracoscopy in the management of children with complicated parapneumonic pleural effusion at the fibrinopurulent stage. METHODS Retrospective study of 99 children submitted to thoracoscopy for the treatment of complicated parapneumonic pleural effusion at the fibrinopurulent stage between November of 1995 and July of 2005. The mean age was 2.6 years (ra...

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ژورنال

عنوان ژورنال: Jornal Brasileiro de Pneumologia

سال: 2017

ISSN: 1806-3756,1806-3713

DOI: 10.1590/s1806-37562016000000261