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(Chest. 1952;21:17-31.)
© 1952 American College of Chest Physicians

Empyema Complicating Closed Intrapleural Pneumonolysis and Artificial Pneumothorax

DAVID SALKIN M.D., F.A.C.P., F.C.C.P.1 and ISABELLE T. GADZIKOWSKI M.D., F.C.C.P.2

1 Veterans Administration Hospital San Fernando, California, The Hopemont Sanitarium, Hopemont, West Virginia, and the West Virginia University Medical School, Morgantown, West Virginia.
2 The Hopemont Sanitarium, Hopemont, West Virginia, and the West Virginia University Medical School, Morgantown, West Virginia.

1) The incidence of the tuberculous empyema was studied in a group of difficult closed intrapleural pneumonolyses and in two control pneumothorax groups.

2) The pneumonolysis group showed an empyema rate of 31.7 per cent as compared with 8.4 and 12.9 per cent in the control groups.

3) The more important factors contributing to the high rate were the technical difficulty of the operation, the nature of the adhesions, and the nature of the pulmonary lesion.

4) The time of empyema development showed a common curve pattern for all groups. There is no one set time that can be designated as a pneumonolysis postoperative period but an indefinite time limited by the duration of the pneumothorax. For practical purposes a period of 18 months is adequate.







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Copyright © 1952 by the American College of Chest Physicians.