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Fibrinolytic treatment of complicated pediatric thoracic empyemas with intrapleural streptokinase
Author(s) -
Gülşen Ekíngen
Publication year - 2004
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2004.05.032
Subject(s) - medicine , streptokinase , thoracotomy , pleural effusion , chest tube , empyema , surgery , fibrinolytic therapy , pleural cavity , pleural disease , fibrinolysis , thoracic cavity , fibrin , respiratory disease , lung , pneumothorax , myocardial infarction , immunology
Proper antibiotic treatment and adequate pleural drainage is essential in successful management of pleural effusions. In complicated effusions the increased production of fibrin results in formation of loculations and septations within the thoracic cavity, leading ineffective chest tube drainage. Intrapleural fibrinolytic agents are employed to avoid thoracotomy in such complicated pleural effusions. Our study reviews the results of streptokinase treatment in children with pleural effusion.

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