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2017, Number 2

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Rev Cubana Pediatr 2017; 89 (2)

Clinical and imaging association in the complicated parapneumonic pleural effusion in children

Piriz-Assa AR, Durán CY, Tapia ÁM, Mejias QM

Language: Spanish
References: 34
Page: 113-123
PDF size: 234.40 Kb.


ABSTRACT

Introduction: children with complicated parapneumonic pleural effusion present great variability in the form of presentation both at the clinical and radiographic levels, but there is no correlation between them.
Objective: to identify the association between the clinical characteristics and the imaging studies in the complicated parapneumonic effusion in children.
Methods: retrospective and observational study conducted in "Octavio de la Concepci'on y de la Predaja" provincial pediatric hospital of Holguin, Cuba. The universe of study was made up of 58 children who had been admitted to the intensive care unit because they presented with complicated parapneumonic pleural effusion in the period of January 2005 to April 2015. The final sample was 55 patients.
Results: according to the anteroposterior thoracic X-ray, the medium volume pleural effusion was the most frequent accounting for 53 % of patients and clinical group II represented the highest number of patients with 49 %. The pleural effusion volumes ranged 100 to 200 mL in the thoracic echography and were the most found (42 %). Left hemithorax was the most affected (58 %). Thorax X-ray did not show direct correlation with the removed pleural fluid volume.
Conclusions: there is no association between the clinical characteristics and the imaging studies performed in children with complicated parapneumonic pleural effusion.


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