RESUMO
The external respiration function (ERF) indexes were studied in 215 patients in 25-40 years after performance of pneumonectomy. In 55.3% patients ventilation indexes have exceeded the due values by 50% for two lungs, in 8.4%--significant disorders of the ERF indexes were noted in connection with an early and late complications occurrence and with presence of specific and metaphthisic changes in a single lung as well.
Assuntos
Pneumonectomia , Respiração , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-OperatórioRESUMO
In 25-40 years after pneumonectomy conduction the mediastinal hernia (MH) occurred in 62.4% of 210 patients. Principal clinico-radiological signs of MH were vicarious hypertrophy and true pulmonary emphysema. Vicarious hypertrophy of single lung is forming, as a rule, in patients, operated on in childhood, is characterized by favourable clinical course and constitutes the MH compensated stage.
Assuntos
Pneumopatias/etiologia , Mediastino , Pneumonectomia/efeitos adversos , Adolescente , Adulto , Criança , Seguimentos , Hérnia/diagnóstico , Hérnia/etiologia , Humanos , Hipertrofia/patologia , Pulmão/diagnóstico por imagem , Pulmão/patologia , Pneumopatias/diagnóstico , Enfisema Pulmonar/diagnóstico , Enfisema Pulmonar/cirurgia , Radiografia TorácicaAssuntos
Pneumopatias Obstrutivas/cirurgia , Pneumonectomia , Tuberculose Pulmonar/cirurgia , Adolescente , Adulto , Criança , Feminino , Seguimentos , Humanos , Pneumopatias Obstrutivas/reabilitação , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Reabilitação Vocacional , Fatores de Tempo , Tuberculose Pulmonar/reabilitaçãoRESUMO
On the basis of examination of 45 patients who had been operated on for tuberculoma, tumors, abscesses, echinococcosis, developmental anomalies of the lungs and bronchiectasis it is concluded that R. F. Klement's tables of the degrees of bronchial patency gradation for phthisiopulmonological patients cannot be used for characterizing bronchial patency in individuals who had undergone operation. The dependence of some indices of the flow-volume loop on the volume of the resected lung is shown. The authors claim that in order to use the above-mentioned tables in characterizing the degree of bronchial patency in patients subjected to operation, a conversion factor must be elaborated.