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Surgical Treatment of Empyema Thoracis
การรักษาทางศัลยกรรมสำหรับภาวะมีหนองในช่องเยื่อหุ้มปอด
Cherdchai Tontisirin (เชิดชัย ตันติศิรินทร์) 1, Sompop Prathanee (สมภพ พระธานี) 2, Kachrit Pacherat (ขจิตร์ พาชีรัตน์) 3, Chusak Kuptanon (ชูศักดิ์ คุปตานนท์) 4, Amorn Suwannimitr (อมร สุวรรณนิมิตร) 5
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During 1982-1984} fifty-five patients with empyema thoracis were treated at Surgical Department of Srinagarind Hospital and Khon Kaen Hospital. The chief compliants were fever (61.1%), Cough (47.06%), Chest pain (32.20%) and dyspnea (25.42%). Postpneumonia, TB. and chest chest trauma were the main caused of empyema thoracis. The pathogenic bacteria were Pseudomonas auroginosa (30.50%), staph. Aureus (21.03%), Acenetobacter sp. (8.47%) and Klebsiella sp. (6.78%) respectively. Surgical treatment consisted of 54 decortication, 4 rib resection and 1 intercostal drainage. There were postoperative complication in 25.4% of patients, mostly were infection and there was no death. The average admission time was 2-8 weeks. . . .
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