Conservative Management of Non-Tension Pneumothorax Following Drainage of Pleural Empyema.

IF 2.3 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2025-09-01 DOI:10.1002/ppul.71264

John Saganty, Will D Carroll, Francis J Gilchrist

引用次数: 0

Abstract

Pleural empyema is a recognized complication of pneumonia and causes significant morbidity in children. Insertion of a small-bore chest drain shortens hospital admission but can be associated with pneumothorax. This is usually assumed to be caused by a bronchopleural fistula or a displaced drain and therefore under pressure, requiring surgical intervention. We describe two children who developed a pneumothorax after a large empyema was drained. Both children were clinically stable and the pneumothorax was not under pressure. They were managed conservatively with complete resolution after 3-6 months. By highlighting these cases, we hope to stop other children undergoing unnecessary surgery.

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胸膜积血引流后非紧张性气胸的保守治疗。

胸膜脓胸是公认的肺炎并发症，在儿童中发病率很高。插入小口径胸腔引流管可缩短住院时间，但可合并气胸。这通常被认为是由支气管胸膜瘘或排水管移位引起的，因此在压力下，需要手术干预。我们描述了两个孩子谁发展气胸后，一个大的脓胸被排干。两患儿临床稳定，气胸无压力。保守治疗，3 ~ 6个月后完全痊愈。通过强调这些案例，我们希望阻止其他孩子接受不必要的手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.