Læknablaðið - 01.03.1964, Blaðsíða 55

LÆKNABLAÐIÐ
29
upphaflega (primer) klasa-
kokka-lungnabólgu fengu 19
eða 76% fylgikvilla (compli-
cationir), og var fleiðruhols-
ígerð algengust eða í 17 sjúkl-
ingum.
Af þessum 39 sjúklingum
dóu 18 eða 46%. Hjá sex þess-
ara barna kem i ljós við krufn-
ingu, að þau höfðu haft ívlgi-
kvilla, svo sem fleiðruhols-
igei’ð með eða án lofts, og ætl-
að var, að þessi börn hefði
mátt lækna, hefði sjúkdómur-
inn verið greindur i tíma og
þau hlotið viðeigandi meðferð.
1 jan. liefti 1958 af Ugeskrift
for læger er grein um klasa-
kokka-Iungnabólgu hjá börn-
um. Þar er lýst 13 tilfellum af
klasakokka-lungnahólgu eða
fleiðruholsígerð, og af þeim
dóu þrjú börn (23%). Ellefu
hörn voru innan eins árs og sjö
voru innan fjögurra mánaða,
og á þeim aldri voru þau þrjú,
sem dóu.
HEIMILDIR:
1. Disney o. fl.: Lancet ’56.
2. Oliver, Thomas K., JR., M. D.,
Smith, Blanca, M.D. og Clat-
•worthy, H. William, JR., M.D.:
Staphylococcal Pneumonia. Pleu-
ral and Pulmonary Compli-
cations: Pediatric Clinics oí
North America, VOL. 6 — No.
4, 1959: 1043—1054.
3. Kringelbach, J. og Winge, J.:
Ugeskrift for lœger 120: 143,1958.
4. Forbes, Gilbert B., Emerson,
George L.: Staphylococcal Pneu-
monia and Empyema; Pcdiatric
Clinics of North America, Febru-
ary 1957, 215—228.
SUMMARY.
Staphylococcus pneumonia among
infants and young children is dis-
cussed as well as the possible com-
plications, such as pyothorax and
pyopneumothorax. The higher in-
cidence of tliis disease and especial-
ly its complications among young
children (before one year of age)
in the antibiotic era is stressed.
Statistics from U.S.A., England and
Denmark are quoted supporting this
statement.
The authors report 7 young
children with pyopneumothorax as
complication of staphylococcal
pneumonia from the pediatric de-
partment of tlie State Hospital.
Three of the children were within
6 months of age and ihe youngest
one Was 3 weeks old, the oldest one
3 years.
Closed suction drainage of the
pleural cavity was necessary and
adequate in 5 of the cases in ad-
dition to antibiotics and oxygen.
An emergency thoracotomy was nec-
essary in one case with decor-
tication of the lung, wedge resection
of two fistulae and suture of the de-
fects.
T\yo of the case histories are
discussed in details as well as the
clinical pictures and treatment.
There was no mortality in this
series.