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Effect of coagulated hemothorax and early fibrinothorax on the state of patients after pneumonectomy

Pleshakov, V.T.; Kostiuchenko, A.L.; Chepcheruk, G.S.

Vestnik Khirurgii Imeni I. I. Grekova 115(10): 71-75

1975

ISSN/ISBN: 0042-4625
PMID: 128188
Document Number: 83758
An estimation of the postoperative course after pneumonectomy in 328 patients, depending on the character and rate of distinguishing the pleural fluid, is given. The development of collapsed hemothorax and early (during the first week) fibrinothorax is predominantly related with separation of massive pleural adhesions, it aggravates the postoperative period and predisposes to the development of pleural empyema. Rethoracotomy with the removal of clots especially in later terms fail to prevent this complication. Intrapleural injections of fibrinolytic drugs is found to offer more perspectives.

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