| Percutaneous catheter drainage of lung abscess. |
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Chang Ho Kim, Seoung Ick Cha, Chun Duk Han, Yeon Jae Kim, Yeung Suk Lee, Jae Yong Park, Tae Hoon Jung |
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Department of Internal Medicine, School of Medicine, Kyungpook National University, Taegu, Korea |
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| Abstract |
Background
Recently, lung abscess tends to be increased in patients with underlying disease, most of whom are unsuitable for surgery when medical treatment fails. The patients with giant lung abscesses dü not frequently respond to antibiotics and often have life. threatening complications, Therefore. more intensive cares are required in these patients. We studied the results and effects of percutaneous catheter drainage in these patients.
Methods
We performed fluoroscopy. guided percutaneous pigtail catheter (8.3 F) drainage by Seldinger technique in 9 cases of lung abscess (in 7 cases, intractable to medical treatment for an average of 8.4 days and in 2 cases, catheter drainage immediately performed due to a large cavity that was initially 10cm in diameter). We compared 10 cases of lung abscess as control group which had receieved conventi onal medical treatment alone.
Results
Seven of the 9 patients in study group of percutaneous dra inage and 7 of the 10 patients in control group of medical treatment alone clinically impro ved in the average of 1.8 and 8.7 days, respectively. The mean duration of drainage was 13.2 da ys. There were 3 cases of death from massive hemoptysis, asphyxia of pus, and sepsis in control group, as compared with 2 cases of death from hepatic encepha lopath y and sepsis in study group. The malfunctions of catheter occurred in these 2 cases, obstruction and dislodgement. But there were no significant pleuropulmonary complications of percutaneous drainage.
conclusion
Percutaneous drainage is effecti ve and relatively safe in the management of lung abscesses refractory to medical therap y or giant lung abscesses. |
| Key Words:
Lung abscess, Percutaneous drainage |
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