ABSTRACT
The article discusses the results of treatment of 84 patients with postresection tuberculous pyothorax and bronchial fistulas with hyperbaric oxygenation session (HBO) included in the complex of therapeutic measures. As a result, the bronchial fistulas closed in 30 (35.7%) patients, the diameter of the fistulas reduced markedly in 20 (24.3%) patients, the bronchial fistulas failed to close in 40% of cases. As the result of HBO therapy the count of red cells and lymphocytes increased, leukocytosis and eosinophilia reduced, the ESR diminished. The content of ALT transaminase, sugar, total protein and bilirubin decreased. The migration index for all immune antigens in the reaction of leukocyte migration inhibition and in the nitro blue tetrazolium test increased. HBO promoted the efficacy of radical operations by 29.4% as compared to that in the control group of the similar patients.
Subject(s)
Bronchial Fistula/therapy , Empyema, Pleural/therapy , Hyperbaric Oxygenation , Postoperative Complications/therapy , Bronchial Fistula/etiology , Bronchial Fistula/metabolism , Empyema, Pleural/etiology , Empyema, Pleural/metabolism , Humans , Postoperative Complications/metabolismABSTRACT
The results of treating 67 patients with postresection tuberculous empyema of the pleura and bronchial fistulas are presented. The complex treatment included courses of hyperbaric oxygenation. The treatment procedure is described. Closure of the bronchial fistula and decrease in the fistula diameter were observed in 23 (33.8 per cent) and 16 (24.5 per cent) patients, respectively. No closure of the bronchial fistula in 41.7 per cent of the patients was recorded. Increased erythropoiesis, decreased leukocytosis and higher leukocyte counts, retarded ESR, lower contents of transaminases, increased inhibition of leukocyte migration, lower levels of immunoglobulin E and fewer numbers of immune complexes circulating in blood were revealed.
