Use of hypertonic urea solution in the treatment of pleural empyema

G. N. Strelkov , A. M. Korepanov

Kazan medical journal ›› 1989, Vol. 70 ›› Issue (3) : 184 -185.

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Kazan medical journal ›› 1989, Vol. 70 ›› Issue (3) : 184 -185. DOI: 10.17816/kazmj99851
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Use of hypertonic urea solution in the treatment of pleural empyema

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Abstract

Our experience covers 8 cases, all of them clinically severe. Prior to that all patients were treated without effect in different medical institutions. In 2 patients a pleural empyema was complicated by an extensive soft tissue phlegmon caused by medical manipulations (installation of a Bühlau drain). After suction of purulent contents through a puncture needle, 40 to 60 ml of 30% urea solution was injected into the pleural cavity. The same procedure was repeated 4-6 times in 1-2 days. Phlegmons were opened with lombard incisions. Dressings were done daily using the same 30% urea solution. All empyemas were sanitized to a dry pleural cavity. Phlegmons also healed without leaving deep scars.

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G. N. Strelkov, A. M. Korepanov. Use of hypertonic urea solution in the treatment of pleural empyema. Kazan medical journal, 1989, 70(3): 184-185 DOI:10.17816/kazmj99851

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References

[1]

Колесников И. С.. Лыткин М. И., Лесницкий Л. С.//Гангрена легкого и пиопневмоторакс.- Л., Медицина, 1983.

[2]

Тюкина А. А., Матусис З. Е., Шумилкина Е. И. и др.//Вестн. хир.— 1984.- № 7.—С. 57 59.

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