[Lung resections for pulmonary infections in intensive care patients].
Pneumonia occurs in about 60% of ventilated patients with a lethality of approximately 40%. Since 1980 we performed a thoracotomy in 16 patients of an intensive care unit suffering from a lung infection (mean age 34 years). In all patients an adequate antibiotic therapy was unsuccessful. By means of the computed tomography we could ascertain a lung infection limited to one part of the lung, mostly combined by an abscess. We performed 14 lobectomies and one atypical wedge resection and segment resection each. Postoperatively 8 patients died: Three of them because of a persisting septic shock and five because of their multiple injuries. Lung resection is a good treatment in case of a lung infection with septic complications.
Kelm
C
C
Klinik für Abdominal- und Thoraxchirugie, Justus-Liebig-Universität Giessen.
Padberg
W
W
Zimmermann
T
T
Schwemmle
K
K
D000328:Adult; D001424:Bacterial Infections / Q000401:mortality / Q000601:surgery*; D003422:Critical Care; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D011013:Pneumonectomy; D011014:Pneumonia / Q000401:mortality / Q000601:surgery*; D012121:Respiration, Artificial; D015996:Survival Rate; D013908:Thoracotomy
Lungenresektionen wegen pulmonaler Infektionen bei Intensivpatienten.