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Ann Thorac Surg 1997;63:943
© 1997 The Society of Thoracic Surgeons

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Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 940.

DR WADE L. KNIGHT (Temple, TX): I am curious as to whether you are using streptokinase. Intrapleural infusion of streptokinase has been very helpful for us in avoiding having to operate on so many of these empyema and hemothorax patients, but we really have not experienced bleeding problems. I apologize for not having data to present, but we really have not experienced bleeding problems. By using streptokinase you will reduce your number of cases requiring thoracoscopy; the patients certainly appreciate it, and you get them out of the hospital quickly. With intrapleural streptokinase, usually you have remarkable clearing of the chest roentgenogram, similar to what you have shown with your 24-hour postoperative drainage film. I am just curious as to whether your plan might not include streptokinase.

DR CARRILLO: In 2 patients with a retained hemothorax we have used streptokinase; however, our results were . . . [Full Text of this Article]

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The Role of Thoracoscopy in the Management of Retained Thoracic Collections After Trauma

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Ann. Thorac. Surg. 1997 63: 940-943. [Abstract] [Full Text]