[Two fibrinopulurent empyema cases--treatment with early mini-thoracotomy and transcatheter urokinase instillation].
We successfully treated two male patients with nontuberculous multiloculated empyemas by early mini-thoracotomy 3 and 6 weeks, respectively, after the onset of the disease. Transcatheter urokinase instillation facilitated drainage of a hemorrhagic loculated pleural collection in one patient after the operation. We believe that these treatments are less invasive and more effective than standard methods in providing early and complete resolution fibrinopurulent empyema in patients in whom this disorder might become chronic.
Chihara
K
K
Division of Thoracic Surgery, Shizuoka City Hospital, Japan.
Emura
M
M
Nakamura
T
T
Ueno
T
T
Oyanagi
H
H
Ozawa
Y
Y
Hirata
T
T
D000368:Aged; D004322:Drainage; D016724:Empyema, Pleural / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007322:Instillation, Drug; D008297:Male; D008875:Middle Aged; D013908:Thoracotomy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D014568:Urokinase-Type Plasminogen Activator