Spontaneous Partial Pneumothorax with Collapse of the Pulmonary Lobe in a Respiratory Infection of a Two-year-old Child

Czech version

Authors: J. Kobr ¹; Vl. Špidlen ³; Z. Chudáček ²; H. Honomichlová ¹; F. Stožický ¹; P. Novák ³; D. Pousková ⁴; L. Šašek ¹
Authors‘ workplace: Dětská klinika - JIRP, Fakultní nemocnice, Plzeň, 1 přednosta doc. MUDr. F. Stožický, DrSc. Radiodiagnostické oddělení Fakultní nemocnice, Plzeň-Bory, 2 prim. MUDr. Z. Chudáček, PhD. Chirurgická klinika Fakultní nemocnice, Plzeň, 3 přednosta prof. MUDr. V
Published in: Čes-slov Pediat 2001; (10): 594-599.
Category:

Overview

The authors describe the case of a two-old toddler with a combined viral and bacterial respiratory infection associated with a spontaneous complete collapse of entire lower left pulmonary lobe. Based on their own experience they selected a non-surgical solution of this complication. They introduced gradually into the affected area two thin inercostal thoracic drains and relieved the pleural adhesion by a single intrapleural instillation of streptokinase (IPSK). After 12 days of active thoracic suction complete and permanent inflation of the collapsed pulmonary lobe was achieved.

Key words:
Spontaneous pneumothorax, pulmonary collapse, thoracic drainage, streptokinase, intrapleural fibrinolysis

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