Intrapleurally administered streptokinase in the treatment of acute loculated nonpurulent parapneumonic effusions.

摘要: Adequate pleural drainage is believed to be an essential component of the management low pH-low glucose parapneumonic effusion. Parapneumonic effusions may become loculated rapidly, preventing adequate with a single chest tube. Administration intrapleural streptokinase effective in promoting for loculated, nonpurulent when fibrin adhesions not yet organized. Intrapleural was used 12 patients relatively large, symptomatic, whom initial thoracentesis demonstrated pH ⩽ 7.0 and/or 40 mg/dl, and inadequate roentgenographically despite tube thoracostomy. Mean fluid WBC 9,750/mm3 (range, 1 27 K), were 33 ± 21 mg/dl 6.95 0.19, respectively. A solution streptokinase, 250,000 units normal saline, given intrapleurally via Effectiveness in...