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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las neumon&#237;as son una de las causas m&#225;s frecuentes de derrame pleural en los ni&#241;os&#46; El 0&#44;6-2 &#37; de las neumon&#237;as se complican con empiema y aproximadamente el 40&#37; de las neumon&#237;as que precisan hospitalizaci&#243;n en ni&#241;os presentan derrame pleural&#46; En los &#250;ltimos a&#241;os&#44; <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> es el germen aislado con mayor frecuencia&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El tratamiento se basa en el empleo adecuado y precoz de antibi&#243;ticos&#44; t&#233;cnicas de imagen&#44; toracocentesis&#44; drenaje pleural&#44; fibrinol&#237;ticos&#44; toracoscopia y toracotom&#237;a&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La colocaci&#243;n de un drenaje pleural est&#225; indicada de forma precoz en las siguientes situaciones&#58; presencia de pus en el espacio pleural&#44; tinci&#243;n de Gram positiva del l&#237;quido pleural&#44; glucosa del l&#237;quido pleural inferior a 50 mg&#47;dl&#44; pH del l&#237;quido pleural inferior a 7&#44; presencia de septos o tabiques en el l&#237;quido pleural en la ecograf&#237;a&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La instilaci&#243;n local de fibrinol&#237;ticos puede disminuir la necesidad de tratamiento quir&#250;rgico&#44; con una eficacia entre el 38 y el 100 &#37;&#44; seg&#250;n lo avanzado del estadio del derrame&#46; El desbridamiento por toracoscopia es &#250;til en fase fibrinopurulenta con tabicaciones y adherencias&#44; con resultados favorables seg&#250;n la precocidad de su realizaci&#243;n&#44; entre el 30-100 &#37;</p>"
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Tratamiento de los derrames pleurales paraneumónicos
Management of parapneumonic pleural effusions
O. Asensio de la Cruza, J. Blanco Gonzálezb, A. Moreno Galdóc,
Autor para correspondencia
amgaldo@cs.vhebron.es

Correspondencia: Unidad de Neumología Pediátrica y Fibrosis Quística. Hospital Materno-Infantil Vall d'Hebron. P.° Vall d'Hebron, 119-129. 08035 Barcelona
, J. Pérez Fríasd, A. Salcedo Posadase, L. Sanz Borrellf, Grupo de Trabajo de Técnicas Especiales en NeumologíaPediátrica de la Sociedad Española de Neumología Pediátrica g
a Servicios de Pediatría Corporació Sanitària Parc Taulí Sabadell, Barcelona
b Servicios de Pediatría Hospital Universitario Príncipe deAsturias, Alcalá de Henares Madrid
c Servicios de Pediatría Hospital Materno-Infantil Vall d'Hebron Barcelona
d Servicios de Pediatría Hospital Materno-Infantil Carlos Haya Málaga
e Servicios de Pediatría Hospital Infantil Universitario Niño Jesús Madrid
f Servicios de Pediatría Hospital Sant Joan de Reus Reus. Tarragona
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ISSN: 16954033
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