RESUMO
The results of complex bacteriologic examination of 62 patients with acute bacterial destruction of the lungs during the process of treatment were analysed. The complex of investigations included the express methods (bacterioscopy, studies in the ultraviolet light, chromatography-mass spectrometry), inoculation under aerobic and anaerobic conditions. A role of anaerobic non-clostridial infection in the development of acute pulmonary destruction, polymicrobial character of microflora are shown. It was established that complex conservative therapy with inclusion of the methods for drainage of the cavities of destruction, prolonged intraarterial infusion, aimed antibacterial therapy permitted to achieve rapid suppression of microflora, its anaerobic component in particular. In chronization of the disease, the gram-negative aerobic flora is playing the leading part in its pathogenesis.
Assuntos
Abscesso Pulmonar/microbiologia , Pulmão/microbiologia , Doença Aguda , Bactérias/isolamento & purificação , Terapia Combinada , Empiema Pleural/etiologia , Empiema Pleural/microbiologia , Empiema Pleural/terapia , Feminino , Gangrena/complicações , Gangrena/microbiologia , Gangrena/terapia , Hemoptise/etiologia , Hemoptise/microbiologia , Hemoptise/terapia , Humanos , Pulmão/patologia , Abscesso Pulmonar/complicações , Abscesso Pulmonar/terapia , Masculino , Pneumotórax/etiologia , Pneumotórax/microbiologia , Pneumotórax/terapiaRESUMO
The results of treatment of 76 patients with various diseases of the lungs complicated by hemorrhage are analysed. A complex of diagnostic and therapeutic measures were applied in a certain order, including bronchoscopy with temporary occlusion of the bronchi, bronchial arteriography with acute embolization of the bronchial artery. Hemorrhage was arrested in 73 patients with the use of such tactics, in 48 of them an economical operative intervention was carried out.
Assuntos
Hemorragia/terapia , Pneumopatias/terapia , Adolescente , Adulto , Broncografia , Broncoscopia , Embolização Terapêutica , Feminino , Hemorragia/diagnóstico , Hemorragia/cirurgia , Humanos , Pneumopatias/diagnóstico , Pneumopatias/cirurgia , Masculino , Pessoa de Meia-Idade , PrognósticoRESUMO
Experiments were conducted on 63 healthy mongrel dogs to study the character of structural changes in the mucous membrane of the stomach in 50% obstruction of the celiac trunk (21), protracted gradual obstruction of the celiac trunk (22), and protracted gradual occlusion of the celiac trunk and cranial mesenteric artery (20). The authors revealed a direct dependence of the structural shifts in the gastric mucosa on the duration and degree of disorders of visceral circulation, which confirms the need for surgical correction; the indications and terms for performing restorative operations are directly dependent on the degree of disorders of the main blood flow.