RESUMO
Under study were results of clinical, immunological and bacteriological examinations of 130 patients with acute abscesses of the lungs. The complex treatment included antibacterial therapy taking into account the antibiotic sensitivity of the microflora, correction of disturbances of the protein and water-salt metabolism, desintoxication measures, immunotherapy and sanitation of purulent cavities and the tracheobronchial tree.
Assuntos
Abscesso Pulmonar/terapia , Infecções por Pseudomonas/terapia , Infecções Estafilocócicas/terapia , Infecções Estreptocócicas/terapia , Adulto , Idoso , Antibacterianos/administração & dosagem , Terapia Combinada , Drenagem , Feminino , Humanos , Injeções Intralinfáticas , Abscesso Pulmonar/diagnóstico , Masculino , Pessoa de Meia-Idade , Infecções por Pseudomonas/diagnóstico , Infecções Estafilocócicas/diagnóstico , Infecções Estreptocócicas/diagnóstico , Irrigação TerapêuticaRESUMO
The article describes results of experimental and clinical studies of using a modified method of lung resection by suturing the bronchus stump in the connective tissue envelope. It was shown that suturing the bronchus stump in the connective tissue envelope gives better blood supply from the very first days after operation than does the method of the bronchus suture after its isolation from the pulmonary root fat. In the clinical observations (109 resections of the lung) no primary incompetence of the bronchus stump was observed. Bronchus fistulas were found in 3,7%. Lethality was reduced from 6,3 to 2,7%.