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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Tratamento cirúrgico de crianças com pneumonia necrosante

2010; Sociedade Brasileira de Pneumologia e Tisiologia; Volume: 36; Issue: 6 Linguagem: Inglês

10.1590/s1806-37132010000600008

ISSN

1806-3756

Autores

Fernando Luíz Westphal, Luís Carlos de Lima, José Corrêa Lima Netto, E. Tavares, Edson de Oliveira Andrade, Márcia dos Santos da Silva,

Tópico(s)

Gallbladder and Bile Duct Disorders

Resumo

To describe the results of the surgical treatment of children with necrotizing pneumonia.A retrospective analysis of the medical charts of 20 children diagnosed with necrotizing pneumonia and submitted to surgical treatment between March of 1997 and September of 2008 in the thoracic surgery departments of two hospitals in the city of Manaus, Brazil. We compiled data regarding age, gender, etiologic agent, indications for surgery, type of surgical resection performed, and postoperative complications.The mean age of the patients was 30 months. Of the 20 patients studied, 12 (60%) were female. The most common etiologic agents were Staphylococcus aureus, in 5 patients (25%), and Klebsiella sp., in 2 (10%). The indications for surgery were sepsis, in 16 patients (80%), and bronchopleural fistula, in 4 (20%). The types of surgical procedures performed were lobectomy, in 12 patients (60%), segmentectomy, in 7 (35%), and bilobectomy, in 1 (5%). There were 8 patients (40%) who also underwent decortication. The postoperative complications were as follows: bronchopleural fistula, in 4 patients (20%); empyema, in 1 (5%); pneumatocele, in 1 (5%); and phlebitis of the left arm, in 1 (5%). Four (20%) of the patients died.Surgical resection should be considered in patients with evidence of pulmonary necrosis. Resection is indicated in cases of severe sepsis, high output bronchopleural fistula, or acute respiratory failure that are refractory to clinical treatment.

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