RESUMO
In 32% of patients operated on the lungs various changes in the tracheobronchial tree develop as early as during the surgical intervention. They are of determining significance in pathogenesis of postoperative disorders in the external breathing function. Bronchoscopy is the most effective method of diagnosis and of timely correction of these disorders during operation on the lungs.
Assuntos
Adenocarcinoma/cirurgia , Broncopatias/cirurgia , Carcinoma de Células Escamosas/cirurgia , Neoplasias Pulmonares/cirurgia , Pulmão/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Transtornos Respiratórios/prevenção & controle , Doenças da Traqueia/cirurgia , Adenocarcinoma Bronquioloalveolar/cirurgia , Broncopatias/diagnóstico , Broncoscopia , Humanos , Pneumopatias/cirurgia , Pessoa de Meia-Idade , Doenças da Traqueia/diagnósticoRESUMO
The causes of lethal outcomes (n = 60) and postoperative complications which occurred in 26.1% of 610 patients operated on for lung cancer were investigated with due consideration for the regularities of thermodynamics of nonequilibrium processes and theory of disasters. A total systems pathological inflammatory reaction, which augments the injury by many times and develops as a result of inadequate anesthesiological protection, underlies the development of the most unfavorable variant of response to surgery leading to life-threatening complications, such as pneumonia, thromboembolism, or ulcerative hemorrhages.