文章基本信息

标题：Pediatric pleural empyema: one of the management challenges in children of Democratic Republic of Congo
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作者：Kibwe Alphonse Simbi ; Valentin Kazadi ; Louis-Marie Aissi 等
期刊名称：La Pediatria Medica e Chirurgica
印刷版ISSN：0391-5387
出版年度：2017
卷号：39
期号：2
DOI：10.4081/pmc.2017.131
语种：English
出版社：PAGEPress Publications
摘要：Empyema is a serious complication characterized by purulent exudate and bacteria in the pleural space, which may progress to necrosis, cavitations or fistulas in the thoracic cavity. It remains a major challenge throughout low-income countries. Objectives were to emphasize the role of basic medical and radiologic approach and to resolve a severe lung complication when facilities are inadequate. A five-year-old female was referred with distress respiratory to the Emergency Unit of Monkole, a large public-private missionary hospital in Kinshasa, Congo. Chest X-ray showed a massive empyema that was resolved by immediate drainage and antibiotiocs. Results were rapid improvement and discharge after 3 weeks. A classic medical and imaging approach is a winning return in low-income countries. According to the British Thoracic Society guidelines, pleural effusion with compromising respiratory function can be managed by drainage and antibiotics.
关键词：Pleural empyema;Management;Challenge;Paediatric;Low income country