ALLEN I. JOSEY; JOHN W. TRENIS; WALTER F. KAMMER
The principles to be considered in the treatment of pleural empyema are twofold, sterilization of the exudate within the pleural space and obliteration of this space by reëxpansion of the lung. Where this can be accomplished without the development of dense pleural adhesions the early recovery of the patient without any permanent respiratory limitation is enhanced. In most standard treatises on the treatment of postpneumonic empyema thoracostomy, preferably with rib resection, is emphasized. Since Graham and the Empyema Commission1 in 1918 demonstrated the importance of delaying operation until the pleural exudate had become thickened, open thoracostomy has been highly successful.
JOSEY AI, TRENIS JW, KAMMER WF. TREATMENT OF POSTPNEUMONIC THORACIC EMPYEMA WITH SULFONAMIDES, PENICILLIN AND REPEATED THORACENTESES1. Ann Intern Med. ;23:800–815. doi: 10.7326/0003-4819-23-5-800
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Published: Ann Intern Med. 1945;23(5):800-815.
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