Extended dissection treatment of children with acute empyema


Can _Hj traditional anti-inflammatory, general supportive therapy with repeated thoracentesis or closed platform drainage and other measures have been cured, but one of the following conditions should be clear lines extended treatment. 1. Symptoms and empyema more j2. After repeated thoracentesis symptoms did not improve or deteriorated in 3. More than a week after closed drainage, lung can not expand, residual abscess. Children can tolerate surgery; 4. Chest or chest X-ray showed the formation of a single room or multiple rooms has been wrapped in persons; 5. Empyema long time, thick pus thick fiberboard or estimated anxious to teach Chinese, L Reed once! Plastic evil past has been a thorn,; G. Soul. Xun, in particular branch j suspected, a chest off the praise. (1-0,4] ird, the method in surgery: Carbon Zaier rate law or by rapid intravenous induction of ether anesthesia closed-type barrier, 'for years on character grounds was in respiratory and lung inflation.. Prior to axillary line 7,moncler outlet,8 or 8,9 rib asked to do the incision closed drainage,abercrombie España, exhaust pus filled lung after trial, by charging a small number of patients after lung reexpansion, marrow can be a closed drainage tube junction seeking surgery. Wood Group ere are two cases to the success of this method, we realize time is short or the incidence of pneumothorax in the gas main pus who have hope of success, such as x-rays failed to show, according to the abscess location, size, choose slightly smaller than the standard posterolateral incision to open the chest. into the chest after the complete exhaustion pus, pus cleared block, and then the visceral fiber thickness, ease of stripping can be used bare hands,abercrombie paris, knives, scissors, curette or gauze ball dissection. two weeks,uggs Günstig, thin fiber board child, When stripping the fragile, five weeks close adhesion, peeling difficult 'to 3 to 6 weeks peel easily, fiber thickness of 0.m, can be peeled off in sheets into the sheet. stripping more attention level, to minimize the stripping break the lungs. stripping When bleeding can be used hot saline gauze, and then move flesh away from the other place, alternately, pay attention to Ye Tong adhesion, peel adhesion and chest wall, the satisfaction of filling the lungs, which can fill the chest surgical termination, such as dissatisfaction can be fibreboard or rolling diaphragm fell stripped phrenic nerve, the diaphragm up, filling the chest. parietal fiber can l do not have to peel, reduce blood loss and patient fight. thoroughly washed off his chest chest,moncler sale, throwing antibiotics, closed chest when sewing homes tight to prevent leakage, such as the formation of subcutaneous emphysema is affected lung recruitment. called, note 1. input m: stripped fiber, _iflf big secret anti-inflammation then J, seepage JIiL more, this group of about 100 - all 200 n the more superficial small area, could not handle, large area deep, the available silk suture needle. Postoperative closed drainage see bubbles overflow Itj, generally 72 hours [J A line of closed sets, there is little more than one week were 3. ringworm and disease associated with bronchial lung processing: stripping in the fiber, while the state allow the addition of children with lung lesions dissection amnesty, part of the resection or lobectomy. _J report on security and other brand-lung resection mortality in children 1.7 to 3%, complications 10 to 23.8 in this group two cases of bronchial fistula, l cases of debridement, l lung part of the cut track, after a smooth postoperative 4. after practice: Postoperative pulmonary song to practice good reexpansion of the lung, often uncooperative children, but crying will help two]: lung recruitment, of course, trumpet, blowing balloons better.