SU995799A1 - Method of treating acute lung abscess - Google Patents

Description

one

The invention relates to medicine, in particular to methods for treating pulmonary diseases.

There is a method of treating acute lung abscess by reorganizing the bronchial tree and subsequent chemotherapy 1.

However, this method is not effective enough, is accompanied by various complications, and the lethal outcome reaches 11.2%.

The purpose of the invention is to reduce mortality and complications.

This goal is achieved by the fact that, in carrying out the method of treating an acute lung abscess by reorganizing the bronchial tree and subsequent chemotherapy, daily hyperbaric oxygenation sessions are performed in the pressure chamber for 45-60 minutes at a pressure of 0.7 aty for 10 days.

In the case of poorly draining or giant cavities, a Bulau abscess is drained before being placed in a pressure chamber.

The method is carried out as follows.

In a known complex of treatment of patients with lung abscesses, hyperbaric oxygenation is applied in the following mode; pressure 0.7 atm for 45-60 min daily. Course. Hyperbaric oxygenation

 is 10 sessions. In order to avoid possible barotrauma of the lung during compression and decompression in patients with poorly draining and giant abscesses, a Bulau cavity is drained before being placed in baroca10. Example. Patient V. 29 years; diagnosis: acute abscess of the right lung - purulent wound in the sacrum. Treatment was prescribed morfocycline 250 thousand x 2 times, calcium chloride / 1% - 100.0; Type 15 Tamines B |, BS and B | 2, methacyl 0.5x4 times, expectorant mixture of 1 tbsp. l 3 times, physiotherapy. To eliminate the danger of lung barotrauma, abscess drainage through the chest is used. Under local anesthesia, thoracocentasis and abscess drainage are made to the patient. In the medical complex include hyperbaric oxygenation. Pressure 0.7 atm, 60 min. daily. After 4 days.

respiratory function: YEL 60%, MOU 2070/0 MVL 81%, PON 112%, KIOG 58%. The patient received 9 sessions of HBO. There are no pathological reactions to hyperbaric oxygen. The patient's condition is satisfactory. Body temperature returned to normal. In the study of the blood protein composition, an increase in the total protein to 67.5 g / l, albumin up to 43% and normalization of the protein fractions were found. Normalized indicators of lactic acid. There have been positive changes in the function of external respiration. Increased VC of the right lung by 10%. Reduced MOU and increased MVL. Oxygen absorption decreased and oxygen utilization rate increased. Blood gas normalized: capillary blood oxyhemoglobin was 91.5%; 23 kPa. Oxygenation of tissues has improved - oxygen tension in the subcutaneous tissue. increased to 17 mmHg The work of the heart returned to normal: the capacity of the left ventricle decreased to 3.2 W, the cardiac output of the heart was restored to a physiological level and amounted to 3i5 l / min. The radiographs of the chest organs on the right show pleural overlaps, sinuses are stained. In the lower lobe on the right - deformation, convergence and strengthening of the pulmonary pattern, on the left - the lung without features. The patient was discharged from the hospital with full recovery. The hospital held 29 bed-days.

The proposed method was applied in the treatment of 76 patients. In this case, full recovery occurred in 41 patients, that is, 54.4% (the known method was 33.0%), the clinical recovery was 37.2% (the known method was 21.9%), switching to chronic 5.3% (known method 33.7%), lethal 3.1% (known method 11.2%). The proposed method significantly reduces mortality and complications, quite simple - effective.

Claims (2)

1. A method of treating acute abscess 5 of the lung by means of a sanhay of a bronchial tree and subsequent chemotherapy, characterized in that, in order to reduce mortality and complications, daily hyperbaric oxygenation sessions are performed in a pressure chamber for 45-60 minutes at a pressure of 0.7 atm for 10 days 2. The method according to claim 1, wherein that, in the case of poorly draining or giant caverns, before being placed in 5 pressure chamber produces cavity drainage Bülau abscess. Sources of information taken into account during the examination 1. B. P. Fedorov, G. L. Vol-Epshtein Lung abscesses. M., “Medicine, p. 10-30, 1976.