血気胸の放置が原因と考えられた線維胸に，膿胸を合併し，肺剥皮術を施行した一例

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  • A case of fibrothorax with empyema caused by hemopneumothorax.

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We encountered a case of fibrothorax caused by hemopneumothorax. The patient was a 28-year-old male admitted to our hospital because of left pleuritis. He had complained of chest pain and fever two months before admission. Chest roentgenogram showed left pleural effusion and deflation of the left lung. No expansion of the lung was noted after tube drainage, which suggested fibrothorax, and empyema developed. Thracoscope-assisted debridment and drainage were performed. However, despite negative findings for bacterial culture in the pleural effusion, the patient's fever continued and we performed decortication of the left lung. Subsequently the left lung expanded immediately after the operation, the empyema disappeard and the patient was discharged one month after the final operation.<BR>For the treatment of fibrothorax caused by hemopneumothorax, early decortication seems to be a good choice instead of prolonged chest drainage.

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