Clinical analysis of empyema in 49 children

VernacularTitle:儿童脓胸49例临床分析
Author: Zhiguo YANG ¹ ; Ni ZHANG ; Weina PEI ; Haidong WANG ; Yongqian CHEN ; Haiyan LYU ; Yimei CUI
Author Information

1. 兰州大学第二医院儿童医院重症科甘肃兰州 730030
Keywords: empyema; Streptococcus pneumoniae; urokinase; child
From: Journal of Clinical Pediatrics 2018;36(6):456-458
CountryChina
Language:Chinese
Abstract: Objective To explore the diagnosis and treatment of empyema in children. Method The clinical data of empyema in 49 children were reviewed and analyzed. Results In the 49 cases (25 males and 24 females) aged 4.7±3.4 years, the common symptoms were fever, shortness of breath and coughing. There were 11 cases of positive blood culture, 17 cases of positive pleural fluid culture, 3 cases of positive blood and pleural fluid culture. Streptococcus pneumoniae was the most common pathogenic bacteria. All 49 patients were given systemic antibiotics and closed thoracic drainage. In addition, 26 cases were treated with urokinase and intrapleural fibrinolytic therapy and 6 cases were treated surgically. The prognosis was good and there was no death. Conclusion Pneumococcal infection is most common in children with empyema. Systemic antibiotics plus closed thoracic drainage and urokinase are effective, and some require surgical treatment.