Percutaneous Catheter Drainage of Lung Abscess

폐농양의 경피적 카테타 배농법

  • Kim, Chang-Ho (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Cha, Seoung-Ick (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Han, Chun-Duk (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Yeon-Jae (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Yeung-Suk (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Jae-Yong (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Jung, Tae-Hoon (Department of Internal Medicine, School of Medicine, Kyungpook National University)
  • 김창호 (경북대학교 의과대학 내과학교실) ;
  • 차승익 (경북대학교 의과대학 내과학교실) ;
  • 한춘덕 (경북대학교 의과대학 내과학교실) ;
  • 김연재 (경북대학교 의과대학 내과학교실) ;
  • 이영석 (경북대학교 의과대학 내과학교실) ;
  • 박재용 (경북대학교 의과대학 내과학교실) ;
  • 정태훈 (경북대학교 의과대학 내과학교실)
  • Published : 1993.04.30

Abstract

Background: Recently, lung abscess tends to be increased in patients with underlying disease, most of whom are unsuitable for surgery when medical treatment fails. The patients with giant lung abscesses do not frequently respond to antibiotics and often have life-threatening complications. Therefore, more intensive cares are required in these patients. We studied the results and effects of percutaneous catheter drainage in these patients. Method: We performed fluoroscopy-guided percutaneous pigtail catheter (8.3 F) drainage by Seldinger technique in 9 cases of lung abscess (in 7 cases, intractable to medical treatment for an average of 8.4 days and in 2 cases, catheter drainage immediately performed due to a large cavity that was initially 10 cm in diameter). We compared 10 cases of lung abscess as control group which had receieved conventional medical treatment alone. Results: Seven of the 9 patients in study group of percutaneous drainage and 7 of the 10 patients in control group of medical treatment alone clinically improved in the average of 1.8 and 8.7 days, respectively. The mean duration of drainage was 13.2 days. There were 3 cases of death from massive hemoptysis, asphyxia of pus, and sepsis in control group, as compared with 2 cases of death from hepatic encephalopathy and sepsis in study group. The malfunctions of catheter occurred in these 2 cases, obstruction and dislodgement. But there were no significant pleuropulmonary complications of percutaneous drainage. Conclusion: Percutaneous drainage is effective and relatively safe in the management of lung abscesses refractory to medical therapy or giant lung abscesses.