Management of spontaneous broncho-pleural fistula in children: study of 30 cases
Tandon, R.K. (1974) Management of spontaneous broncho-pleural fistula in children: study of 30 cases. Indian Journal of Tuberculosis, 21 (4). pp. 196-198.
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Management of 30 cases of spontaneous broncho-pleural fistula is discussed. 25 cases developed following rupture of tubercular focus oi lung while 5 developed following rupture of staphylococcal pneumonia of lung. Intercostal drain was life-saving procedure in these acutely ill children. Morbidity was high but responded to good chemotherapy and open drain of the empyema cavity in (60%) cases while 10 cases (33.3%) required major surgical procedures with high morbidity and small mortality. Only 2 cases (6.7%) with small bronchiolar leak responded to under water seal drain.
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