Pleuresia inflamatoria en la infancia: Conducta quirúrgica

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 padrón 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 neumonía complicada por pleuresía ha sido siempre un proceso que ha afectado la morbilidad y mortalidad en la edad pediátrica y en ocasiones necesita de algún proceder quirúrgico para su solución. la decisión inicial de si realizar solo una punción pleural o agregarle una pleurostomía mínima, puede ser controversial, por lo que se decidió realizar un estudio de todos aquellos ni？os que fueron ingresados en el hospital pediátrico universitario de san miguel del padrón con neumonía complicada por pleuresía inflamatoria (pleuresía durante un proceso inflamatorio pulmonar), a los cuales hubo que realizarles algún proceder quirúrgico para la solución de su derrame, en el período de enero de 2000 a enero de 2001; se estudiaron los expedientes clínicos de 10 pacientes; se les conformaron tablas y figuras. el grupo d