Die Thoraxfensterung und offene Behandlung des chronischen Pleuraempyems als Therapiemöglichkeit sonst nicht mehr operabler Kranker*

Jüngst, G

doi:10.1055/s-0028-1102800

Cited by 1 publication

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References 2 publications

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“…If it is impossible to evacua te the pleural eavitity of purulent seeretion, one or more intrathoracie suetion drains have to be applied (4) . If complete healing of the empyema is not attained, surgical treatmen t by means of deco rtication (IO), or ope n th oraeostomy dr ainage in eases of older ernpyema eavities with non -collapsible walls (3,5), is indieated (Table 2) .…”

Section: Discussionmentioning

confidence: 99%

Instillation of Fibrinolytic Enzymes in the Treatment of Pleural Empyema

Fraedrich¹,

Hofmann²,

Effenhauser³

et al. 1982

Thorac cardiovasc Surg

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Acute pleural empyema which is not amenable to pleural puncture or closed thoracic drainage should be treated operatively by decortication or, in persistent cavities, by open thoracostomy drainage. In the last 2 years we have instilled 500,000 IU of fibrinolysines (streptokinase and streptodornase) per day into the pleural cavity of 27 patients with pleural infections requiring closed intrapleural drainage. By means of this treatment, pus and fibrinous membranes are liquefied and necrotic tissue is discharge. Therapeutic success is indicated by considerably increased fluid drainage about one hour after instillation. This therapy was performed for an average of 5 days. In 12 patients (44%) pleural empyema could be cured. In the other 15 cases decortication, and in 3 of them open thoracostomy drainage, was necessary. In our opinion intrapleural instillation of fibrinolytic enzymes should be added to the well-recognized method of treatment of pleural empyema, although not replace them.

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Section: Discussionmentioning

confidence: 99%