PROGNOSTICATION OF PYOTHORAX AND PYOPNEUM OTHORAX COURSE

Proteolytic and procoagulative activities of pleural exudate leukocyte s and macrophages along with peripheral blood monocytes can serve an o bjective criterion in assessing the severity and predicting the course of inflammation in pyothorax (PT) and pyopneumothorax (PPT). A favour able outcome of PT and PPT is reported in high and normal proteolytic activity of leukocytes and in registration of procoagulative macrophag e activity, in inhibited proteolytic activity of pleural exudate leuko cytes, multidirectional effect on plasma macrophage coagulating activi ty, in the absence of procoagulative activity in blood monocytes. The prognosis is poor in inhibited proteolytic activity of pleural exudate leukocytes, anticoagulative macrophage activity and monocytic procoag ulative activity.