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EMPYEMA IN INFANTS AND YOUNG CHILDREN

RALPH C. SPENCE, M.D.
Am J Dis Child. 1920;20(6):545-555. doi:10.1001/archpedi.1920.01910300085007.
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In reviewing the literature on empyema in infants and young children, it was found that the number of extensive articles on this subject was surprisingly few. Since the majority of admissions to the Babies' Hospital are children under 3 years of age, an exceptional field is offered to observe this disease in the very young. For this reason it seemed worth while to make a study of the cases which have been treated during the last seven years. The cases treated prior to this time were analyzed in 1913 by Holt.1

From Jan. 1, 1913 to Jan. 1, 1920, 204 cases of clinical empyema were treated at the Babies' Hospital. Of this number 113 babies recovered and 91 died, a mortality of 44.6 per cent. Cases are classed as empyema in which pus or cloudy serum was obtained from the pleural cavity by exploratory punctures. From this pus or

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