Сравнительный анализ различных методов повторной ампутации культи главного бронха
Книга или сборник статей
Русский
616-002
культя главного бронха; бронхиальный свищ; эмпиема плевры; ререзекция; хирургические доступы; main bronchus stump; bronchial fistula; pleural empyema; reamputation; surgical approache
Медицина и здравоохранение / Клиническая медицина / Пульмонология, Медицина и здравоохранение / Клиническая медицина / Хирургия
Presented is a comparative analysis of various techniques to perform reamputation of the main bronchus stump, in 30 patients, who had bronchial fistulas with various localizations and pleural empyema with various severity. High success rate of surgical treatment (90%) was observed in patients treated via pleural space approach during the first three days after bronchial fistula developed, and in the absence of visible manifestations of empyema development. Treatment effectiveness was fairly high (95%) in patients, who had leakage in the left main bronchus stump and signs suggesting presence of chronic empyema, and who were treated using collateral technique of stump amputation. In patients with leakage in right main bronchus stump and chronic empyema, with surgery performed via transsternal-transpericardial approach, treatment effectiveness was 70%. Development of rational tactic for using various surgery techniques to treat main bronchus stumps depending on severity of pleural empyema helped avoid troublesome complications after surgery and achieve the best possible treatment success rate
Винокуров, И. И. Сравнительный анализ различных методов повторной ампутации культи главного бронха / И. И. Винокуров, А. Ф. Кравченко // Предупреждение распространения туберкулезной инфекции в циркумполярных регионах России. Актуальные проблемы сочетанных инфекций (ВИЧ/ТБ/гепатиты) — 2018. — С. 27-29.
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