Çocuklarda üst abdominal cerrahi patolojilerin komplikasyonu olarak gelişen plevral efüzyonlar

Year 2011, Volume: 17 Issue: 1, 47 - 50, 01.02.2011

Cüneyt Günşar Alparslan Aşcı Aydın Şencan Ömer Yılmaz Erol Mir

Abstract

Intractable pleural effusions can occur during the courses of serious intraabdominal surgical pathologies. Information about the pathogenesis, presentation and management of this pulmonary complication is limited in the literature particularly for the childhood period. In this study we aimed to present our experience on management of three adolescent patients with pleural effusions which developed after upper abdominal surgical pathologies. According to the data collected from our patients, presence of peritoneal fluid, fever higher than 38ºC and adolescent age can be risk factors for development of pleural effusions. If intractable fluid collections resist to multiple thoracentesis then tube thoracostomy may be needed for the treatment.

Keywords

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Pleural effusions complicating upper abdominal surgical pathologies in children

Abstract

Ciddi intrabdominal cerrahi patolojilerin seyrinde inatçı plevral efüzyonlar gelişebilir. Özellikle çocukluk çağı açısından bakıldığında literatürde bu tip pulmoner komplikasyonların patogenez ve klinik seyri ile ilgili çok fazla bilgi bulunmamaktadır. Bu çalışmada üst abdominal cerrahi patolojiler sonrasında plevral efüzyon gelişen üç adolesan hastanın klinik özellikleri sunulmuştur. Hastala rımızdan elde ettiğimiz verilere göre adolesan yaş, periton içi sıvı varlığı ve 38ºC üzeri yüksek ateş plevral efüzyon gelişimi açısından risk faktörü olabilir. Plevra içinde inatçı sıvı koleksiyonları aralıklı torasentezlere yanıt vermez ise tedavi için tüp torakostomi gerekebilir.

Keywords

Plevral efüzyon, üst abdomen cerrahisi, pulmoner komplikasyonlar, laparotomi, çocuk, adolesan

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