[Diagnosis and therapy of XXXX ].

@entity1 @entity295 @entity3509 @entity102 @entity292 @entity4327
21 @entity1 with @entity4327 were treated at this clinic over a period of 3 years. 15 @entity1 had metapneumonic @entity3509 , 2 @entity3509 associated with @entity295 , and 4 postsurgical @entity3509 . In 12 @entity1 the underlying illness was @entity102 while 9 @entity1 were thus far in good health. The most frequent causative pathogens were staphylococci and streptococci, together with anaerobic bacteria. One @entity1 died of the underlying disease. Three cases of metapneumonic @entity3509 healed completely with antibiotics only. Closed chest tube drainage with small chest tube was performed 13 times and was successful 11 times with a mean drainage duration of 13 days. Six @entity1 underwent surgery (early decortication in 4 instances, late decortication in 2). The surgical indication was in 4 instances multilocular of the @entity3509 which inhibited chest tube drainage, imminent loss of function in 1 case and unsuccessful drainage in a case of @entity292 in 1 instance. Apart from high-dose antibiotic therapy, earliest possible drainage is of crucial importance in the treatment of @entity4327 . Surgery should be considered only in uncomplicated @entity3509 if drainage is impossible for technical reasons.
