tailieunhanh - Báo cáo y học: "Lung abscess predicts the surgical outcome in patients with pleural empyem"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Lung abscess predicts the surgical outcome in patients with pleural empyema. | Huang et al. Journal of Cardiothoracic Surgery 2010 5 88 http content 5 1 88 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Lung abscess predicts the surgical outcome in patients with pleural empyema Hung-Che Huang1 Heng-Chung Chen1 Hsin-Yuan Fang2 Yi-Chieh Lin1 Chin-Yen Wu1 Ching-Yuan Cheng1 Abstract Objectives Most cases of pleural empyema are caused by pulmonary infections which are usually combined with pneumonia or lung abscess. The mortality of patients with pleural empyema remains high up to 20 . It also contributes to higher hospital costs and longer hospital stays. We studied pleural empyema with combined lung abscess to determine if abscess was associated with mortality. Methods From January 2004 to December 2006 we retrospectively reviewed 259 patients diagnosed with pleural empyema who received thoracscopic decortications of the pleura in a single medical center. We evaluated their clinical data and analyzed their chest computed tomography scans. Outcomes of pleural empyema were compared between groups with and without lung abscess. Results Twenty-two pleural empyema patients had lung abscesses. Clinical data showed significantly higher incidences in the lung abscess group of pre-operative leukocytosis need for an intensive care unit stay and mortality. Conclusion Patients with pleural empyema and lung abscess have higher intensive care unit admission rate higher mortality during 30 days and overall mortality than patients with pleural empyema. The odds ratio of lung abscess is . Physician shall pay more attention on high risk patient of lung abscess for early detection and management. Background Pleural empyema is one of the serious complications of pneumonia and increases the morbidity and mortality due to pneumonia 1-3 . About 5 of patients with pneumonia suffer from pleural empyema 4 5 . About 65 000 patients in the United State and the United Kingdom suffer annually from pleural empyema or a .

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