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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se discute mucho el tratamiento del empiema postneumonectom&#237;a&#44; complicaci&#243;n muy seria dentro de la cirug&#237;a tor&#225;cica&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La infecci&#243;n pleural postneumonectomia es poco frecuente y variable el momento de su aparici&#243;n&#46; Se puede presentar en el postoperatorio inmediato o varios meses o a&#241;os despu&#233;s de la operaci&#243;n&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Una vez diagnosticado&#44; existe acuerdo un&#225;nime en el tratamiento inmediato del empiema postneumonectom&#237;a&#44; que consiste en la colocaci&#243;n de un tubo de drenaje&#44; con la finalidad de des-ntoxicar al enfermo&#46; No sucede lo mismo con el tratamiento definitivo&#44; en el que las terap&#233;uticas preconizadas han sido demasiado traumatizantes o poco eficaces&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La mayor&#237;a de las neumonectom&#237;as se practican en sujetos de edad&#44; cancerosos&#44; en los que el porvenir a largo plazo es incierto&#44; con alteraciones cardiopulmonares en la mayor&#237;a de ellos&#44; y en los que cualquier intervenci&#243;n de consideraci&#243;n puede originar un alto riesgo operatorio&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Fue Clagett en 1963 quien cre&#243; un m&#233;todo de tratar el empiema postneumonectom&#237;a sencillo&#44; poco traum&#225;tico&#44; que nosotros hemos utilizado en nuestros &#250;ltimos casos&#44; con buenos resultados&#44; Y que es el motivo de esta publicaci&#243;n&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Much has been said about the treatment of post-pneumonectomy empyema&#44; a very serious complica-tion within thoracic surgery&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The post-pneumonectomy pleural infection is little frequent&#44; and the moment of onset is variable&#46; It can appear immediately after the operation or several months or years later&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Once diagnosed&#44; there is unanimous agreement as to the immediate treatment of post-pneumonectomy empyema that consists in placing a drainage tube in order to disintoxicate the patient&#46; The same is not true of the definitive treatment as the recommended therapy has proved to be too traumatic or not very effective&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">The majority of the pneumonectomies are carried out in older&#44; cancerous persons for whom the long term future is uncertain&#44; with cardiopulmonary alterations in the majority of the cases&#46; Por these patients&#44; any intervention of consideration can cause a high operative risk&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">In 1963 Clagett developed a simple&#44; little traumatic method for treating post-pneumonectomy that the authors have used in their last cases with good results&#44; and this is the motive for this publication&#46;</p></span>"
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Vol. 11. Issue 4.
Pages 137-141 (October - December 1975)
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Vol. 11. Issue 4.
Pages 137-141 (October - December 1975)
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Empiema post-neumonectomia: Su tratamiento
Post-pneumonectomy empyema: Its treatment
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F. Serrano Muñoz, A. Alix Trueba, J.L. Fernández Bermúdez, A. Cueto
Fundación Jiménez Díaz. Madrid
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Resumen

Se discute mucho el tratamiento del empiema postneumonectomía, complicación muy seria dentro de la cirugía torácica.

La infección pleural postneumonectomia es poco frecuente y variable el momento de su aparición. Se puede presentar en el postoperatorio inmediato o varios meses o años después de la operación.

Una vez diagnosticado, existe acuerdo unánime en el tratamiento inmediato del empiema postneumonectomía, que consiste en la colocación de un tubo de drenaje, con la finalidad de des-ntoxicar al enfermo. No sucede lo mismo con el tratamiento definitivo, en el que las terapéuticas preconizadas han sido demasiado traumatizantes o poco eficaces.

La mayoría de las neumonectomías se practican en sujetos de edad, cancerosos, en los que el porvenir a largo plazo es incierto, con alteraciones cardiopulmonares en la mayoría de ellos, y en los que cualquier intervención de consideración puede originar un alto riesgo operatorio.

Fue Clagett en 1963 quien creó un método de tratar el empiema postneumonectomía sencillo, poco traumático, que nosotros hemos utilizado en nuestros últimos casos, con buenos resultados, Y que es el motivo de esta publicación.

Summary

Much has been said about the treatment of post-pneumonectomy empyema, a very serious complica-tion within thoracic surgery.

The post-pneumonectomy pleural infection is little frequent, and the moment of onset is variable. It can appear immediately after the operation or several months or years later.

Once diagnosed, there is unanimous agreement as to the immediate treatment of post-pneumonectomy empyema that consists in placing a drainage tube in order to disintoxicate the patient. The same is not true of the definitive treatment as the recommended therapy has proved to be too traumatic or not very effective.

The majority of the pneumonectomies are carried out in older, cancerous persons for whom the long term future is uncertain, with cardiopulmonary alterations in the majority of the cases. Por these patients, any intervention of consideration can cause a high operative risk.

In 1963 Clagett developed a simple, little traumatic method for treating post-pneumonectomy that the authors have used in their last cases with good results, and this is the motive for this publication.

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Copyright © 1975. Sociedad Española de Neumología y Cirugía Torácica
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