%0 Journal Article
%T Empiema pleural en 343 casos con tratamiento quir¨²rgico: caracter¨ªsticas, resultados inmediatos y factores asociados a morbilidad y mortalidad
%A Gonz¨¢lez L
%A Roberto
%A Prats M
%A Rafael
%A Lazo P
%A David
%A Jadue T
%A Andr¨¦s
%A Mordojovich R
%A Gerardo
%A Santolaya C
%A Raimundo
%A Rodr¨ªguez D
%A Patricio
%J Revista chilena de cirug¨ªa
%D 2012
%I Scientific Electronic Library Online
%R 10.4067/S0718-40262012000100006
%X background: pleural empyema still has a dismal prognosis. aim: to describe features and prognostic factors of patients with pleural empyema subjected to surgical procedures. material and methods: retrospective review of 343 patients with pleural empyema (mean age 52 years, 71% males), that were subjected to any type of surgical procedure. criteria for diagnosis of empyema were a positive culture, a fluid ph of less than 7.2 or a compatible macroscopic appearance of the fluid. results: empyema was secondary to pneumonia in 243 patients (71%), secondary to surgical procedures in 41 patients (12%), secondary to trauma in 19 patients (5.5%), secondary to a lung abscess in 10 patients (3%), tuberculous in 10 patients (3%), neoplastic in two cases (0.6%), secondary to pneumothorax in 2 cases (0.6%) and of unknown origin in 13 patients (4%). a microorganism was isolated from pleural fluid in 89 patients (26%). the surgical procedures performed were 251 decortications by thoracotomy (73%), 70 pleurotomies (20%), 11 video assisted surgeries (3%), seven decortications with lung resections and four fenestrations. complications were recorded in 104 patients (30%), 29 patients were re-operated (8.5%) and 31 died (10%), all due to sepsis. conclusions: the main cause of pleural empyema is pneumonia. in most patients, microorganisms are not isolated from pleural fluid, thoracotomy with decortication is the most frequent surgical procedure. there is a high rate of complications and mortality.
%K empyema
%K thoracotomy
%K pneumonia.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-40262012000100006&lng=en&nrm=iso&tlng=en