%0 Journal Article %T Pleuresia inflamatoria en la infancia: Conducta quir¨²rgica %A Delgado Delgado %A Arturo L. %A Elizechea Hern¨¢ndez %A ¨¢ngel %A Medina Vic %A Lucrecia %A Ponce Sandoval %A Nelson %J Revista Cubana de Pediatr£¿-a %D 2003 %I Editorial Ciencias M¨¦dicas %X pneumonia complicated due to pleurisy has always been a process affecting morbidity and mortality at the pediatric age and on ocassions some surgical procedure has been necessary. the initial decision wether to perform only a pleural puncture or to add a minimum pleurotomy may be controversial. that's why it was decided to conduct a study of all the children that were admitted at the pediatric teaching hospital of san miguel del padr¨®n with pneumonia complicated due to inflammatory pleurisy (pleurisy during an inflammatory pulmonary process) and that underwent surgery to resolve the effusion from january 2000 to january 2001.the medical histories of the 10 patients were studied. tables were made and figures were obtained. the age group 1-5 was the most affected with 40 %. no sex preponderance was observed and the most frequent localization of the inflammatory process (90 %) was the right lung and, within this, the right basis with 40 %. 50 % of the patients underwent only pleural puncture and in the other half pleurotomy was performed, too. 30 % of this last group had more than 150 ml in the initial puncture. a minimum pleurotomy was necessary in 5 patients. la neumon¨ªa complicada por pleures¨ªa ha sido siempre un proceso que ha afectado la morbilidad y mortalidad en la edad pedi¨¢trica y en ocasiones necesita de alg¨²n proceder quir¨²rgico para su soluci¨®n. la decisi¨®n inicial de si realizar solo una punci¨®n pleural o agregarle una pleurostom¨ªa m¨ªnima, puede ser controversial, por lo que se decidi¨® realizar un estudio de todos aquellos ni£¿os que fueron ingresados en el hospital pedi¨¢trico universitario de san miguel del padr¨®n con neumon¨ªa complicada por pleures¨ªa inflamatoria (pleures¨ªa durante un proceso inflamatorio pulmonar), a los cuales hubo que realizarles alg¨²n proceder quir¨²rgico para la soluci¨®n de su derrame, en el per¨ªodo de enero de 2000 a enero de 2001; se estudiaron los expedientes cl¨ªnicos de 10 pacientes; se les conformaron tablas y figuras. el grupo d %K pleurisy [therapy] %K pneumonia [complications]. %U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-75312003000100006&lng=en&nrm=iso&tlng=en