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The Clinical Observations of Empyema Thoracis in Childhood.

Journal of the Korean Pediatric Society 1985;28(7):674-682.
Published online July 31, 1985.
The Clinical Observations of Empyema Thoracis in Childhood.
Young Yull Ko, Kwang Wook Ko
Department of Pediarics, College of Medicine, Seoul National University
소아농흉의 임상적 관찰
고영률, 고광욱
서울대학교 의과대학 소아과학교실
We made a clinical observation of 36 cases of empyema thoracis at the Pediatric department of S.N.U.H. during the 5 year period from Jan. 1980 to Dec. 1984. The results were as follows; 1)The most frequent age group was infancy, which was accounted to 44.4% of all cases. Male to Female sex ratio was about 1 : 1.1, and the highest seasonal incidence was in Spring. 2)The main symptoms were fever, cough, dyspnea and/or tachypnea in order of frequency. Vomiting, diarrhea and abdominal distension were prominent in infancy. 3) Hematologic findings on admission revealed hemoglobin level below 12gm%, leukocyte count above 10,000/cum.m, and elevated E.S.R. in most cases. 4)Pleural fluid obtained from patients showed high leukocyte count with neutrophil predominant, high protein level (mean 3,646mg%), and low glucose level (mean 26.3mg%). 5)Findings from pleural fluid cultures were negative in 12 cases (33.3%), nine of whom had been given antibiotics for an average of five days before admission. The most common causative agent was Staphylococcus aureus (47.2%), which was relatively sensitive to Amikin, Cephalothin, and Gentamycin. 6)The most frequent lesion predisposing to empyema was pneumonia (53.8%), being remarkable in Staphylococcal empyema. 7)There was no significant difference in location of empyema. In only one case (2.8%), both sides were involved. 8)The majority of patients were treated with antibiotics and closed drainage. The remainders (11.2%) needed open drainage or ecortication. 9)The duratoin and amount of closed drainage were 12 days and 242cc in mean values. On the average, 72% of pleural fluid was drained within the first three days.
Key Words: Empyema

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