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  Česky / Czech version Čs. Pediat., 56, 2001, No. 10, p. 594-599
 
Spontaneous Partial Pneumothorax with Collapse of the Pulmonary Lobe in a Respiratory Infection of a Two-year-old Child 
Kobr J.1, Špidlen Vl.3, Chudáček Z.2, Honomichlová H.1, Stožický F.1, Novák P.3, Pousková D.4, Šašek L.1 

Dětská klinika - JIRP, Fakultní nemocnice, Plzeň,1 přednosta doc. MUDr. F. Stožický, DrSc. Radiodiagnostické oddělení Fakultní nemocnice, Plzeň-Bory,2 prim. MUDr. Z. Chudáček, PhD. Chirurgická klinika Fakultní nemocnice, Plzeň,3 přednosta prof. MUDr. V. Třeška, DrSc. Nemocnice „U Sv. Jiří“, s.r.o., Plzeň,4 přednosta doc. MUDr. J. Hlad, CSc.
 


Summary:

       The authors describe the case of a two-old toddler with a combined viral and bacterial respiratory infection associated with a spontaneous complete collapse of entire lower left pulmonary lobe. Based on their own experience they selected a non-surgical solution of this complication. They introduced gradually into the affected area two thin inercostal thoracic drains and relieved the pleural adhesion by a single intrapleural instillation of streptokinase (IPSK). After 12 days of active thoracic suction complete and permanent inflation of the collapsed pulmonary lobe was achieved.

        Key words: Spontaneous pneumothorax, pulmonary collapse, thoracic drainage, streptokinase, intrapleural fibrinolysis
       

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