Approximately 15 to 40 percent of people require surgical drainage of the infected pleural space because of inadequate drainage due to clogging of the chest tube or loculated empyema.
42.
The concept of chest drainage was first advocated by Hippocrates when he described the treatment of empyema by means of incision, cautery, and insertion of metal tubes.
43.
As a surgeon Perthes made several contributions, including a procedure of suction drainage for empyema, and the use of a pneumatic cuff for hemostasis during limb surgeries.
44.
The disease is characterized by intermittent high temperature with recurrent chills; metastatic processes in various parts of the body, especially in the lungs; septic pneumonia; empyema.
45.
Complications from delayed surgery include pancreatitis, empyema ( " collection of pus " ) or perforation of the gallbladder, cholecystitis, cholangitis, and obstructive jaundice.
46.
Some complications of treated tuberculosis like recurrent hemoptysis, destroyed or bronchiectaic lungs and empyema ( a collection of pus in the pleural cavity ) are also amenable to surgical therapy.
47.
With treatment, including surgical drainage, resolution of the empyema occurs from the dural side, and, if it is complete, a thickened dura may be the only residual finding.
48.
Approximately 15 % of adult patients with pleural infection die within 1 year of the event, although deaths are usually due to comorbid conditions and not directly due to sepsis from the empyema.
49.
Coroners found that Nicholaus Contreraz'death March 2 was caused by complications from an " empyema, " or collection of pus between the lung and the lining of the left chest.
50.
Different laboratories have different values for the upper limit of serum LDH, but examples include 200 and 300 In empyema, the LDH levels, in general, will exceed 1000 IU / L.
