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Clinical Observation of Pediatric Empyema.

Journal of the Korean Pediatric Society 1981;24(4):336-342.
Published online April 15, 1981.
Clinical Observation of Pediatric Empyema.
Ai Ryung Kim, Bok Kun Kee, Myung Ho Lee
Department of Pediatrics, Presbyterian Medical Center, Jeonju, Korea
소아농흉의 임상통계적 관찰
김애령, 기복근, 이명호
전주예수병원 소아과
Abstract
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.
Key Words: Empyema, Staphlococcus, Pneumonia, Thoracotomy


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