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ÇOCUKLARDA İNFEKSİYONA SEKONDER PLEVRAL EFFÜZYONLARA YAKLAŞIM: 6 YILLIK DENEYİM

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Abstract (2. Language): 
Between 1993 and 1999, 47 patients with pleural effusions were treated by medical therapy and chest tube drainage in Paediatric Department of Zeynep Kamil Hospital. These cases were reviewed. Results.- The initial presentations in these cases were as follows: Empyema thoracis 20, parapneumonic effusion 20, tuberculous effusion 7. Only one patient with tuberculous effusion had required decortication. The mean hospitalization duration was 14.4 ± 6.2 days. Conclusion.- In our experience, most of the children with pleural effusions and empyemas can be treated by an effective medical treatment or by simple chest tube drainage. However, a few patients with persistent fever and respiratory distress may need further surgical interventions.
Abstract (Original Language): 
1993 -1999 yılları arasında Zeynep Kamil Hastanesi Çocuk Dahiliye Kliniği’nde yatırılan infeksiyona sekonder plevral effüzyonlu 47 olgunun dosyaları retrospektif olarak değerlendirildi. Parapnö- monik effüzyon 20, ampiyem 20, tüberkü- loz plörezi 7 olguda saptandı. Göğüs tüp drenajı sonrası cerrahi tedavi sadece bir olguda gerekti. Hastanede kalış süresi ortalama 14.4 ± 6.2 gün bulundu. Kliniğimizde, plevral effüzyonlu olgularda erken tanı konulması, uygun kemoterapi ve gerekiyorsa göğüs tüp drenajı ile sonuçlarımız başarılı bulunmuştur. Etkin tedaviye rağmen solunum sıkıntısının devam etmesi durumunda dekortikasyon gibi daha agresif cerrahi girişimler düşü- nülmelidir.
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