Open AccessUse of hypertonic urea solution in the treatment of pleural empyema
Author(s) -
G. N. Strelkov,
А. М. Корепанов
Publication year - 1989
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj99851
Subject(s) - medicine , phlegmon , empyema , surgery , pleural empyema , pleural cavity , suction , mechanical engineering , engineering
Our experience covers 8 cases, all of them clinically severe. Prior to that all patients were treated without effect in different medical institutions. In 2 patients a pleural empyema was complicated by an extensive soft tissue phlegmon caused by medical manipulations (installation of a Bhlau drain). After suction of purulent contents through a puncture needle, 40 to 60 ml of 30% urea solution was injected into the pleural cavity. The same procedure was repeated 4-6 times in 1-2 days. Phlegmons were opened with lombard incisions. Dressings were done daily using the same 30% urea solution. All empyemas were sanitized to a dry pleural cavity. Phlegmons also healed without leaving deep scars.