. Departamento de Cirurgia Pediátrica, Hospital Infantil Joana de Gusmão, Florianópolis (SC) Brasil.
. Departamento de Radiologia Pediátrica, Hospital Infantil Joana de Gusmão, Florianópolis (SC) Brasil.
J Bras Pneumol. 2024 May 27;50(2):e20230318. doi: 10.36416/1806-3756/e20230318. eCollection 2024.
To identify how pediatric surgeons manage children with pneumonia and parapneumonic pleural effusion in Brazil.
An online cross-sectional survey with 27 questions was applied to pediatric surgeons in Brazil through the Brazilian Association of Pediatric Surgery. The questionnaire had questions about type of treatment, exams, hospital structure, and epidemiological data.
A total of 131 respondents completed the questionnaire. The mean age of respondents was 44 ± 11 years, and more than half (51%) had been practicing pediatric surgery for more than 10 years. The majority of respondents (33.6%) reported performing chest drainage and fibrinolysis when facing a case of fibrinopurulent parapneumonic pleural effusion. A preference for video-assisted thoracic surgery instead of chest drainage plus fibrinolysis was noted only in the Northeast region.
Chest drainage plus fibrinolysis was the treatment adopted by most of the respondents in this Brazilian sample. There was a preference for large drains; in contrast, smaller drains were preferred by those who perform chest drainage plus fibrinolysis. Respondents would rather change treatment when facing treatment failure or in critically ill children.
了解巴西小儿外科医生如何治疗肺炎合并脓胸患儿。
通过巴西小儿外科学会向巴西小儿外科医生进行了一项包含 27 个问题的在线横断面调查。问卷内容包括治疗方法、检查、医院结构和流行病学数据。
共有 131 名受访者完成了问卷。受访者的平均年龄为 44 ± 11 岁，超过一半（51%）的人从事小儿外科工作超过 10 年。大多数受访者（33.6%）报告在面对纤维蛋白脓性脓胸时进行胸腔引流和纤维蛋白溶解。只有在东北地区，人们更倾向于选择电视辅助胸腔镜手术而不是胸腔引流加纤维蛋白溶解。
巴西小儿外科医生在处理肺炎合并脓胸患儿时，多采用胸腔引流加纤维蛋白溶解的方法。大多数受访者倾向于使用大引流管；相比之下，那些进行胸腔引流加纤维蛋白溶解的医生则更喜欢使用小引流管。当治疗失败或患儿病情危急时，受访者更倾向于改变治疗方法。
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