ABSTRACT
Results of examination of 98 patients, suffering syndrome of intrathoracic lymphadenopathy of various etiology in 2003-2012 yrs period, were analyzed. The rate of a mistaken diagnosis establishment while conducting conservative therapy without histological verification, was studied up. The disagreement rate between clinical and histological diagnosis in syndrome of intrathoracic lymphadenopathy have had constituted (64.3 ± 4.8)% at average. The patients distribution in accordance to their gender, age and previously conducted treatment-diagnostic work, were analyzed.
Subject(s)
Diagnostic Errors/statistics & numerical data , Lymphatic Diseases/diagnosis , Lymphatic Diseases/pathology , Thorax/pathology , Adult , Age Factors , Diagnosis, Differential , Female , Humans , Lymphatic Diseases/therapy , Male , Middle Aged , Retrospective Studies , Sarcoidosis, Pulmonary/diagnosis , Sarcoidosis, Pulmonary/pathology , Sarcoidosis, Pulmonary/therapy , Sex Factors , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/pathology , Tuberculosis, Pulmonary/therapyABSTRACT
The results of surgical treatment of 158 patients in phthysiosurgical stationary, in whom HIV/AIDS was diagnosed, were presented. In the main group 103 (65.2%) patients were included, who were operated for tuberculosis of various localization. In 70 (44.3%) patients, suffering HIV/AIDS, videoscopy with pleural biopsy was performed, and in 50 (31.6%)--biopsy of lymphatic nodes for lymphadenopathy of occult genesis. The rate of postoperative complications was 4.4%. A priority of performance of videoscopic interventions in the patients, suffering HIV/AIDS, was substantiated.
Subject(s)
HIV Infections/surgery , Hospitals, Special , Thoracic Surgical Procedures/methods , AIDS-Related Opportunistic Infections/diagnostic imaging , AIDS-Related Opportunistic Infections/microbiology , AIDS-Related Opportunistic Infections/surgery , Adolescent , Adult , Female , HIV Infections/diagnostic imaging , HIV Infections/microbiology , Humans , Male , Radiography , Treatment Outcome , Tuberculosis/diagnostic imaging , Tuberculosis/microbiology , Tuberculosis/surgery , Young AdultABSTRACT
Arteriovenous fistulas (AVF)--a rare inborn disease of respiratory system. During 32 yrs 19 observations of pulmonary AVF were made. There were 13 (68.4%) men and 6 (31.6%) women. The patients' age was 25 yrs at average. In 4 (21.1%) patients there was Rendu-Weber-Osler disease diagnosed. Characteristic complaints were acrocyanosis, dyspnea while on loading, rapid fatigue. In accordance to laboratory investigation performed, polycytemia and hypoxemia were revealed. All the patients were operated on, most frequent operation was lobectomy--in 14 (73.6%). Multiple AVF were revealed in 4 (21.1%) patients. The postoperative period course was without complications in 15 (78.9%) patients. One patient (5.3%) died, aged 24 yrs old, suffering bilateral AVF, in 24 days after right-sided lower lobectomy from the bleeding, occurring in contralateral lung and asphyxia.
Subject(s)
Arteriovenous Fistula/surgery , Pulmonary Artery/abnormalities , Pulmonary Veins/abnormalities , Telangiectasia, Hereditary Hemorrhagic/surgery , Adolescent , Adult , Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Fistula/pathology , Child , Child, Preschool , Female , Humans , Male , Pneumonectomy , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/pathology , Pulmonary Artery/surgery , Pulmonary Veins/diagnostic imaging , Pulmonary Veins/pathology , Pulmonary Veins/surgery , Radiography , Telangiectasia, Hereditary Hemorrhagic/diagnosis , Telangiectasia, Hereditary Hemorrhagic/diagnostic imaging , Telangiectasia, Hereditary Hemorrhagic/pathology , Treatment OutcomeABSTRACT
Results of examination and treatment of 62 patients, suffering bilateral pleural exudate (BPE), in part, peculiarities of differential diagnostic criteria in groups in accordance with etiological factor and in comparison with those in patients, suffering one-sided pleural exudate, were analyzed. The patients, suffering BPE of various etiology, are distributed in accordance to gender factor, age, the treatment and diagnosis measures, the disease symptoms severity, visual signs of parietal pleura changes.
Subject(s)
Lung Neoplasms/diagnosis , Lung/pathology , Myocardium/pathology , Pleura/pathology , Pleural Effusion, Malignant/diagnosis , Pleural Effusion/diagnosis , Tuberculosis, Pulmonary/diagnosis , Acute Disease , Adult , Age Factors , Chronic Disease , Diagnosis, Differential , Exudates and Transudates/microbiology , Female , Humans , Lung Neoplasms/pathology , Male , Middle Aged , Mycobacterium tuberculosis/isolation & purification , Pleural Effusion/pathology , Pleural Effusion, Malignant/pathology , Sex Factors , Tuberculosis, Pulmonary/pathologyABSTRACT
The results of surgical treatment of patients, suffering destructive pulmonary tuberculosis, using the right pulmonum upper lobe or the left pulmonum C(I)-C(III) resection with (the main group--35 patients) or without (control group--38 patients) formation of a new pulmonary cupola, were analyzed. There was proved, that the procedure of a pulmonary cupola formation after doing the right pulmonum upper lobectomy or the left pulmonum C(I)-C(III) resection, using suturing of the C(VI) top to the middle lobe (on the right side) or up to lingular segments (on the left side) permits to reduce significantly (by 10.3%) the postoperative complications rate and to improve the operative intervention efficacy by 7.6%.
