急性膿胸に対する胸腔鏡下手術の一治験例 [in Japanese] A Case Report of Pleural Empyema Treated by Video-Assisted Thoracoscopic Surgery [in Japanese]
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- 杉 和郎 SUGI Kazuro
- 国立療養所山陽病院臨床研究部 Department of Clinical Research, Sanyo National Hospital
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- 佐藤 泰之 SATO Yasushi
- 国立療養所山陽病院外科 Department of Surgery, Sanyo National Hospital
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- 高木 昭 TAKAKI Akira
- 国立療養所山陽病院循環器科 Department of Circulation, Sanyo National Hospital
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- 中島 一毅 NAKASHIMA Kazuki
- 岩国みなみ病院外科 Department of Surgery, Iwakuni Minami Hospital
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- 宮川 祥一 MIYAGAWA Shoichi
- 宮川内科医院 Miyagawa Clinic
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Author(s)
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- 杉 和郎 SUGI Kazuro
- 国立療養所山陽病院臨床研究部 Department of Clinical Research, Sanyo National Hospital
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- 佐藤 泰之 SATO Yasushi
- 国立療養所山陽病院外科 Department of Surgery, Sanyo National Hospital
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- 高木 昭 TAKAKI Akira
- 国立療養所山陽病院循環器科 Department of Circulation, Sanyo National Hospital
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- 中島 一毅 NAKASHIMA Kazuki
- 岩国みなみ病院外科 Department of Surgery, Iwakuni Minami Hospital
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- 宮川 祥一 MIYAGAWA Shoichi
- 宮川内科医院 Miyagawa Clinic
Abstract
A 66-year-old male was admitted to our hospital for management of right pneumonia with disseminated intravascular coagulation. The patient was treated with antibiotics and anti-coagulation therapy, recovering from pneumonia and DIC, resulting in right pleural empyema. Debridement with video-assisted thoracic surgery was performed, removing fibrin clots and septa from both visceral and parietal pleural surfaces. The chest tube was removed one week later, discharged two weeks after the operation. Thoracoscopic debridement and pleural irrigation for the patients with postpneumonia empyema are safe, effective and minimally invasive surgical procedure.
A 66-year-old male was admitted to our hospital for management of right pneumonia with disseminated intravascular coagulation. The patient was treated with antibiotics and anti-coagulation therapy, recovering from pneumonia and DIC, resulting in right pleural empyema. Debridement with video-assisted thoracic surgery was performed, removing fibrin clots and septa from both visceral and parietal pleural surfaces. The chest tube was removed one week later, discharged two weeks after the operation. Thoracoscopic debridement and pleural irrigation for the patients with postpneumonia empyema are safe, effective and minimally invasive surgical procedure.
Journal
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- 山口医学
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山口医学 49(1), 349-353, 2000-04-30
山口大学医学会
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