RESUMO
The results of treatment were analyzed in 118 patients with infiltrative pulmonary tuberculosis. In patients with infiltrative pulmonary tuberculosis, generation of therapeutic hypoventilation and atelectasis of the affected part of the lung by means of an endobronchial valve contributes to stabilization and regression of a tuberculous process, closure of decay cavities, and cessation of bacterial excretion.
Assuntos
Pneumologia/instrumentação , Tuberculose Pulmonar/patologia , Tuberculose Pulmonar/cirurgia , Adulto , Terapia Combinada , Feminino , Humanos , Masculino , Índice de Gravidade de DoençaRESUMO
The results of treatment are analyzed in 78 patients with brochopleural fistilas after lung surgery. A method for imaging the draining bronchus under endoscopic guidance, by using the foamed dye administered into the residual cavity, has been developed. A valvular bronchial blocker for abolishing the function of bronchopleural fistular inserted into the lobular and segmental bronchus at bronchoscopy was designed and clinically tested. This procedure allows resurgery to be avoided in 91.7% of cases.
Assuntos
Fístula Brônquica/patologia , Fístula Brônquica/cirurgia , Pleura/patologia , Pleura/cirurgia , Complicações Pós-Operatórias , Fístula Brônquica/epidemiologia , Empiema Tuberculoso/epidemiologia , Empiema Tuberculoso/etiologia , Empiema Tuberculoso/cirurgia , Humanos , Tempo de Internação/estatística & dados numéricos , SucçãoRESUMO
The results of treatment are analyzed in 89 patients with disseminated drug-resistant pulmonary tuberculosis. The application of an endobronchial back valve to patients with drug-resistant pulmonary tuberculosis gives rise to hypoventilation and atelectasis in the affected areas of the lung, promotes the stabilization and regression of a tuberculous process, and it is not attended by the development of endobronchial complications.
Assuntos
Terapêutica/instrumentação , Terapêutica/métodos , Tuberculose Resistente a Múltiplos Medicamentos/terapia , Tuberculose Pulmonar/terapia , Adolescente , Adulto , Idoso , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Resultado do Tratamento , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico por imagem , Tuberculose Pulmonar/diagnóstico por imagemRESUMO
The results of treatment are analyzed in 102 patients with disseminated pulmonary tuberculosis complicated by pulmonary hemorrhage. The authors have developed and clinically tested a procedure for arresting pulmonary hemorrhage by creating therapeutic hypoventilation and atelectasis of a lung portion, in which there is a source of bleeding, by using valvular bronchoblocation of the draining bronchus. The application of valvular bronchoblocation to patients with pulmonary bleeding enhances the efficiency of complex treatment and reduces mortality by 4.9 times and a need for emergency and urgent surgical interventions by 7.4 times.