Management des parapneumonischen Ergusses und des Pleuraempyems View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-07

AUTHORS

M. Kolditz, G. Höffken

ABSTRACT

Etwa 50.000 Patienten entwickeln jährlich in Deutschland einen parapneumonischen Pleuraerguss. Die Prognose der Pneumonien wird dadurch ungünstig beeinflusst. Eine rasche Diagnose mittels bildgebender Verfahren und diagnostischer Pleurapunktion ist daher erforderlich. Basierend auf diagnostischen Kriterien lässt sich der parapneumonische Erguss in eine unkomplizierte und eine komplizierte Verlaufsform sowie das Pleuraempyem unterteilen. Therapeutische Strategien umfassen die parallele Einleitung einer empirischen antimikrobiellen Therapie unter Einschluss grampositiver, gramnegativer und anaerober Erreger und die rasche und vollständige Entfernung der infizierten Pleuraflüssigkeit. Adäquate Verfahren zur Ergussentfernung schließen die (wiederholte) Pleurapunktion, die Saugdrainage, die intrapleurale Fibrinolyse und thoraxchirurgische Verfahren ein. Ihre Anwendung erfolgt nach individueller Risikostratifizierung unter Berücksichtigung diagnostischer Kriterien wie Ausdehnung und Aussehen des Ergusses, mikrobiologischem Erregernachweis und biochemischer Parameter. More... »

PAGES

219-228

References to SciGraph publications

Journal

TITLE

Der Pneumologe

ISSUE

4

VOLUME

5

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10405-008-0248-2

DOI

http://dx.doi.org/10.1007/s10405-008-0248-2

DIMENSIONS

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