| Clinical Observation of Pediatric Empyema. |
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Ai Ryung Kim, Bok Kun Kee, Myung Ho Lee |
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Department of Pediatrics, Presbyterian Medical Center, Jeonju, Korea |
| 소아농흉의 임상통계적 관찰 |
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김애령, 기복근, 이명호 |
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전주예수병원 소아과 |
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| Abstract |
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Forth cases of empyema in children were observed during last 6 years from Jan. 1973 to Dec. 1978.
The results were followed; 1.The ratio of male to female was 2.3:1. The most frequent age group was below 1 year (32.5%). 2.Incidence was more common in spring and winter(65%). 3.Symptoms on admission were fever (92.5%), dyspnea(72. 5%) cough(62. 5%) and chest pain (18.5%). 4. 32.5% of total patients showed no growth of organism and most common causative org-anism was staphylococcus (47.5 %). 5.In sensitivity test to staphylococcus, Cephalothin, Novobiocin, Doxycyclin and Oleandro-mycin showed 100% sensitivity and Kanamycin, Gentamycin, Erythromycin and Chloramp henicol showed about 90% sensitivity. Tetracyclin(75%), Ampicillin (77.8%) and Penicillin (87.5%) showed high resistancy. 6.Pneumonia(55%) was the most common associated disease and others were pyopneumot-horax, pulmonary tuberculosis, measles and septicemia.
7.The location of empyema was 22 case in the right side and 17 case in the left side. Only-one was in both side.
8.Most of patients (77.5%) showed mild anemia below Hgb. ll'gm% and all of the patients showed leukocytosis.
9.In the most cases (80%), combined therapy of antibiotics and thoracotomy was performed. Mortality rate was 2.5%. Average duration of closed thoracotomy was 12 days and hospitali-zation was 16 days.
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| Key Words:
Empyema, Staphlococcus, Pneumonia, Thoracotomy |
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