Acute lung abscess and their complications: features of course and treatment
DOI:
https://doi.org/10.11603/2414-4533.2019.2.10421Keywords:
acute lung abscesses, complications, managementAbstract
The aim of the work: to increase the effectiveness of complex treatment for patients with acute lung abscess.
Materials and Methods. On the basis of the Department of Thoracic Surgery of the Ternopil University Hospital for the period of 2014–2019, 68 patients with acute abscess of lungs aged 20 to 74 years were treated.
Results and Discussion. In the treatment of patients, a set of measures was used that included antibacterial therapy, bronchial drainage function, detoxification and correction of metabolic disorders. In recent years, more and more frequent cases of more severe forms of purulent diseases that were often complicated by pyopneumothoraks (18 patients), empyema of pleura (in 15 patients), which was accompanied by puncture of the pleural cavity and drainage for Bulaow with further sanation with antiseptics (dioxidine, chlorhexidine, decasan) three times a day and active aspiration of the contents. In the event of hemoptysis, preparations of trannexamic acid with hemostatic purpose were used. In an arrosive bleeding, urgent surgical intervention was performed (upper lobectomy on the right in 2 patients). Therefore, the prospect of further research will be the introduction of X-ray diffractometry techniques for stopping the arrosive bleeding, by embolizing the bronchial arteries, which will enable stabilize the patient’s condition and prepare for surgery, thereby improving the outlook for treatment.
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