Assuntos
Antituberculosos/uso terapêutico , Cateterismo/instrumentação , Tuberculose Resistente a Múltiplos Medicamentos/terapia , Tuberculose Pulmonar/terapia , Adulto , Broncoscopia/métodos , Quimioterapia Combinada , Desenho de Equipamento , Seguimentos , Humanos , Masculino , Radiografia Torácica , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios X , 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.
Assuntos
Broncoscopia/métodos , Embolização Terapêutica/métodos , Hemoptise/terapia , Hemostase Endoscópica/métodos , Tuberculose Pulmonar/complicações , Brônquios , Seguimentos , Hemoptise/etiologia , Humanos , Resultado do TratamentoRESUMO
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.