Assuntos
Antituberculosos/uso terapêutico , Cateterismo/instrumentação , Tuberculose Resistente a Múltiplos Medicamentos/terapia , Tuberculose Pulmonar/terapia , Adulto , Broncoscopia/métodos , Quimioterapia Combinada , Desenho de Equipamento , Seguimentos , Humanos , Masculino , Radiografia Torácica , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios X , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico por imagem , Tuberculose Pulmonar/diagnóstico por imagemRESUMO
The results of treatment are analyzed in 102 patients with disseminated pulmonary tuberculosis complicated by pulmonary hemorrhage. The authors have developed and clinically tested a procedure for arresting pulmonary hemorrhage by creating therapeutic hypoventilation and atelectasis of a lung portion, in which there is a source of bleeding, by using valvular bronchoblocation of the draining bronchus. The application of valvular bronchoblocation to patients with pulmonary bleeding enhances the efficiency of complex treatment and reduces mortality by 4.9 times and a need for emergency and urgent surgical interventions by 7.4 times.
Assuntos
Broncoscopia/métodos , Embolização Terapêutica/métodos , Hemoptise/terapia , Hemostase Endoscópica/métodos , Tuberculose Pulmonar/complicações , Brônquios , Seguimentos , Hemoptise/etiologia , Humanos , Resultado do TratamentoRESUMO
The results of treatment are analyzed in 89 patients with disseminated drug-resistant pulmonary tuberculosis. The application of an endobronchial back valve to patients with drug-resistant pulmonary tuberculosis gives rise to hypoventilation and atelectasis in the affected areas of the lung, promotes the stabilization and regression of a tuberculous process, and it is not attended by the development of endobronchial complications.
Assuntos
Terapêutica/instrumentação , Terapêutica/métodos , Tuberculose Resistente a Múltiplos Medicamentos/terapia , Tuberculose Pulmonar/terapia , Adolescente , Adulto , Idoso , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Resultado do Tratamento , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico por imagem , Tuberculose Pulmonar/diagnóstico por imagemRESUMO
Two new methods for elimination of bronchial fistulas in postresectional empyemas were tested in 40 patients. The most effective procedure was transbronchial diathermocoagulation of the draining (fistular) bronchus, with a full clinical effect being in 100% of patients), and selective foam rubber obturation in 80%.
