title: [Post-pneumonectomy empyemas: causes, clinical course, management].
abstract: Between 1984 and 2000 in the Thoracic Surgery Centre pneumonectomies were performed in 947 patients. Postpneumonectomy empyema (PE) occurred in 67 (7%) patients. The aim of this paper were: analysis the reasons of postpneumonectomy empyema appearance, defined bacterial flora, clinical course and optimal management. The causes of PE were: pleural cavity haematoma (20 patients-29.8%), wound suppuration (18 patients-26.8%), bronchial fistula (31 patients-46.2%). These complications appeared singly or together in 49 (73.1%) patients. In 2 (3.0%) patients a long treatment in the Intensive Care Unit because of postoperative shock was the cause of infection. In 3 (4.5%) cases the cause of empyema was associated with infection during the operation. In 13(19.4%) cases the cause of empyema was not established. In 55 patients infections of pleural cavities were diagnosed in the first 8 weeks after operations. In 12 patients empyemas were established later. 12 (17.9%) patients died during the analyzed 1 year period after operation. In 18 (26.9%) patients infections were caused by only one bacterial strain and in 49 (73.1%) by two or three bacterial strains. The different methods of treatment (thoracentesis, drainage, operation) depending on general condition of patient were done.
authors.affiliation: Wrocławski Ośrodek Torakochirurgii: Klinika Chirurgii Klatki Piersiowej AM, Oddział Torakochirurgii Dolnoślaskiego Centrum Chorób Płuc.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Kacprzak
authors.forename: Marek
authors.initials: M
authors.lastname: Marciniak
authors.forename: Jerzy
authors.initials: J
authors.lastname: Kołodziej
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Addae
mesh_terms: D000328:Adult; D000368:Aged; D001983:Bronchial Fistula / Q000453:epidemiology; D015897:Comorbidity; D018450:Disease Progression; D004322:Drainage; D004653:Empyema / Q000453:epidemiology / Q000382:microbiology* / Q000628:therapy*; D006406:Hematoma / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects* / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D014946:Wound Infection / Q000453:epidemiology
vernacular_title: Ropniaki komory poresekcyjnej: przyczyny, przebieg kliniczny, postepowanie.