Abstract |
Lung abscesses and necrotizing pneumonia are rare complications of community-acquired pneumonia since the advent of antibiotics. Their management leans first of all on the antibiotic treatment adapted on the informed germs. However, in 11 to 20% of the cases of lung abscesses, this treatment is insufficient, and drainage, either endoscopic or percutaneous, must be envisaged. In first intention, we shall go to less invasive techniques: endoscopic or percutaneous radio-controlled. In case of failure of these techniques, a percutaneous surgical drainage by minithoracotomy will be performed. In the necrotizing pneumonia, because of the joint obstruction of the bronchus and blood vessels corresponding to a lung segment, the systemic antibiotic treatment will be poor effective. In case of failure of this one we shall propose, a percutaneous surgical drainage, especially if the necrosis limits itself to a single lobe. The surgical treatment will be reserved: in the failures of the strategy of surgical drainage, in the necroses extending in several lobes.
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Authors | P-B Pagès, A Bernard |
Journal | Revue de pneumologie clinique
(Rev Pneumol Clin)
Vol. 68
Issue 2
Pg. 84-90
(Apr 2012)
ISSN: 1776-2561 [Electronic] France |
Vernacular Title | Les abcès et nécroses pulmonaires à germes banals : drainage ou chirurgie ? |
PMID | 22361063
(Publication Type: Comparative Study, Evaluation Study, Journal Article, Review)
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Copyright | Copyright © 2012 Elsevier Masson SAS. All rights reserved. |
Topics |
- Chest Tubes
(statistics & numerical data)
- Drainage
(instrumentation, methods, statistics & numerical data)
- Humans
- Lung
(pathology, surgery)
- Lung Abscess
(surgery, therapy)
- Necrosis
(surgery, therapy)
- Pneumonia
(surgery, therapy)
- Pulmonary Surgical Procedures
(methods, statistics & numerical data)
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