RESUMO
Experience of differential diagnosis of pleural diseases, accompanied by pleuroabdominal pain syndrome, simulating «an acute abdomen¼, was summarized. In a pleural exudate syndrome such a course was noted in 17 (3%) patients, of them 7 (1.23%) were operated on; and in a syndrome of spontaneous pneumothorax in 3 (1.7%), 1 (0.4%) was operated. Diagnostic algorithm was proposed.
Assuntos
Abdome Agudo/diagnóstico , Empiema Pleural/diagnóstico , Dor/diagnóstico , Derrame Pleural/diagnóstico , Pneumotórax/diagnóstico , Abdome Agudo/patologia , Abdome Agudo/fisiopatologia , Tomada de Decisão Clínica , Diagnóstico Diferencial , Erros de Diagnóstico , Empiema Pleural/patologia , Empiema Pleural/fisiopatologia , Humanos , Masculino , Dor/patologia , Dor/fisiopatologia , Derrame Pleural/patologia , Derrame Pleural/fisiopatologia , Pneumotórax/patologia , Pneumotórax/fisiopatologia , Síndrome , Procedimentos Cirúrgicos Torácicos/métodos , Adulto JovemRESUMO
In coincidence of chronic phthisic pleuritis in a rigid stage with pulmonary tuberculosis operative intervention is indicated of a pleuropulmonectomy type, what is a complex situation for performance and preservation of the patient's functional state. Pleuropulmonectomy in some patients is complicated by empyema and pathological processes in bronchi. Possibilities of operative interventions application, alternative to pleuropulmonectomy, were studied. Of 48 patients, to whom pleuropulmonectomy is indicated in accordance to data of clinic-roentgenological investigations, in 7--simultant operative treatment were conducted with positive results.
