| A Second look at of its incidence and importance in Pediatric Empyema |
|
Sun Huh, Moon Hee Yang, Pyung Kil Kim, Kyung Soo Park |
|
Department of Pediatrics, Yonsei University College of Medicine Seoul, Korea |
| 小兒體觸에 關한 臨床的 考察 (1963 年7 月--1970 年6 月) (連續觀察)
|
|
許 銃, 楊文照, 金病吉, 朴壞被 |
|
延世大學校 醫科大學 小兒科學敎室 |
|
|
|
|
| Abstract |
|
Twenty seven patients of pediatric emphysema which were observed during last 7 years at Severance Hospital were com paired its incidence and other clinical importance with previous observation
of thirty three cases by Whang et al of Severance Hospital, Yonsei University.
The following results were observed.
1. Incidence of pediatric empyema was decreased recently comparing with the previous observation.
2. The younger age group was the more patients in this investigation. Eleven out of twenty seven patients were under 1 year of age(40. 8%). But that of Whang et al was 27- 6%. Sex ratio male to female was 2. 6 : 1 and the youngest one was one month old male newborn. 3. 48.1 percent of total patients showed no growth of organisms from the pleural fluid. That of Whand et al was 9.1%. The most important etiologic organism was staphylococcus. Their incidences were 78. 3% of ours and 59. 3 % of previous observation.
4. CloxacilEne, leucomycin, albamycin were more sensitive to organisms in this investigation but
erythromycin, chloramphenicol and sigmamycin which had been more sensitive by Whang et al have become more resistant. 5. Associated lung diseases were found from only 14. 8% which were pneumonia, lung abscess and pulmonary tuberculosis. 6. Average hospital day was 23 days which were shorter than other observations. Mortality (2. 9%) was also lower than other observations.
7. Combined antibiotics and closed drainge was choice of treatment in pediatric empyema which
were applied to 70. 4% of all patients.
|
|
PDF Links
Download Citation
