ABSTRACT
The results of conducted investigations and experience of bronchoscopy (more than 1500 per year) confirm that use of endoscopic sanitation in treatment of chronic obstructive pulmonary diseases sufficiently improves the function of external breathing, speeds-up recovery of patient and extends remission. We consider that chronic obstructivepulmonary disease (COPD) is an indication for medical-and-diagnostic fibrobronchoscopy.
Subject(s)
Bronchoscopy , Pulmonary Disease, Chronic Obstructive/therapy , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Pulmonary Disease, Chronic Obstructive/drug therapy , Severity of Illness Index , Suction/methods , Treatment OutcomeABSTRACT
The authors studied a group of patients with simple thorax injury, contusion of lungs and injury of thorax frame (1225 patients), who had been refused to be hospitalized to specialized poly-trauma departments due to some reasons. 34% of these patients had fractures of ribs, thorax and rib arcs and 15% of them had two-sided traumas. The group of the patients with simple thorax injury and lung contusion, but without injuries of thorax frame, consisted of 63% of the patients, who addressed for an aid at first hours after accidents. Clinical X-ray pictures have been not clearly expressive. 37% of patients, who had asked for medical aid in 3-5 days after accidents, had trauma complications. As a result, they had long-term outpatient treatment of pneumonia and pleurisy. In order to provide necessary aid to patients and carry out prophylactics of delayed complications it is recommended to hospitalize these people to therapeutic and pulmonary departments.
Subject(s)
Lung Injury , Thoracic Injuries/diagnosis , Thoracic Injuries/therapy , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/therapy , Adult , Aged , Female , Hospitalization , Humans , Lung/diagnostic imaging , Male , Middle Aged , Radiography , Retrospective Studies , Thoracic Injuries/diagnostic imaging , Trauma Centers , Trauma Severity Indices , Ukraine , Wounds, Nonpenetrating/diagnostic imagingABSTRACT
Moxyfloxacinum in a dose of 400 mg daily in tablets over 5 days proved to have good results in 92,7% of patients with infectious exacerbation of chronic obstructive bronchitis type I. Cyprofloxacin in a dose of 500 mg every 12 hours over 7 days had positive effects in 78,6%. Thus, the using of fluoroquinolones in patients with infectious exacerbation of chronic obstructive bronchitis type I gives sufficiently good results. It allows us to use Moxyfloxacinum as a drug of choice in treatment of patients with this disease.
