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[Surgical indications in persistent atelectasis in early childhood]
H P Hümmer1, T Zimmermann, F Vicedom
1Kinderchirurgische Abteilung der Chirurgischen Klinik, Universität Erlangen, Nürnberg.
Zentralblatt Fur Chirurgie
|January 1, 1990
Summary
Pediatric lung resections for persistent atelectasis between 1980-1989 showed a 4/45 mortality rate. Complications were mainly due to prolonged artificial ventilation.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Pulmonology
Context:
- Recurrent or persistent atelectasis in children (0-9 years) often necessitates surgical intervention.
- The study period spans from 1980 to 1989, reflecting surgical practices of that era.
Purpose:
- To analyze the indications, outcomes, and mortality associated with lung resections in young children.
- To evaluate the effectiveness and risks of surgical management for various pediatric lung conditions causing atelectasis.
Summary:
- 46 lung resections were performed in 45 children for conditions including sequestration, bronchial malformations, chronic pneumonia, bronchiectasis, pyocele, torsion, cysts, and lobar emphysema.
- The overall mortality rate was 4/45, with two deaths occurring within four weeks postoperatively, primarily linked to long-term artificial ventilation and related complications.
Impact:
- Provides historical data on surgical management of pediatric lung diseases leading to atelectasis.
- Highlights the significant risks, particularly mortality, associated with aggressive surgical intervention and prolonged ventilation in young children.