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KMID : 0364019760090010102
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Korean Journal of Thoracic and Cardiovascular Surgery
1976 Volume.9 No. 1 p.102 ~ p.106
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The Management of Postpneumonectomy Empyema According to Modified Clagett´s Precedure
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姜政豪/Kang, J.H.
崔秀丞/李正浩/柳英善/柳會性/Choi, S.S./Lee, J.H./Yoo, Y.S./Yoo, H.S
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Abstract
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The management of infection occurring in the space which remains after removal of lung presents considerable difficulties both for the patient and the surgeon. We have during the past oneyear, developed a procedure, which has been suscessfully applied in 4 cases of postpneumonectomy empyema by modification of Clagett´s procedure. All their underlying lung diseases were pulmonary tuberculosis. The diagnosis of postpneumonectomy empyema was confirmed by thoracentesis, and bacteriologic cultures were obtained in all patients. Dead space thoracis was irrigated with various kind of antiseptic Solutions and debrided, filled with antibiotics saline solutions. The patients had a smooth post operative course except one case and was discharged from the hospital on the 3 weeks post-operative day in average.
The failure case was wound leaking & redeveloped empyema, & waiting for reoperation.
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KEYWORD
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