FEATURES OF DIAGNOSIS AND TREATMENT OF TUBERCULOUS PLEURAL EMPYEMA
DOI:
https://doi.org/10.11603/1681-2727.2021.3.12499Keywords:
tuberculosis (TB), ТВ empyema (TBE), videotoroscopy (VTS), video-assisted surgical resection (VATS), open pleurectomy with decortication of lungs (PE with DL)Abstract
On the basis of review of scientific literature, an article is devoted to the specific tuberculosis pleural disease of is covered. Pleural tuberculosis empyema remains one of the most severe complications of generalized (tuberculosis-nonspecific) chest lesions. The specificity of TB suppuration is caused by untimely onset, late diagnosis and inadequate treatment in previous stages of medical care. The primary resistance of mycobacteria, the joining of persistent hospital flora and hypersensitization of the patient to a mixed comorbid infection, which remains not quite studied and studied, is of great importance. Scientific and practical interest of this problem is due to the high prevalence of pleura purulent tuberculosis in medical institutions, insufficient efficiency of existing treatments, lack of tendency to decrease and high mortality, which causes significant difficulties to a wide. The essence of this problem is caused by the absence of uniform views on pathogenesis and morphogenesis of pleural empyema of tuberculosis, which reduces the modern early diagnosis and possibility of timely surgical treatment of this pathology.
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