[Strategy of treatment of patients with acute purulent diseases of the lungs with bronchopleural fistulas, pyopneumothorax].

The authors have made an analysis of their experiences with treatment of 222 patients with acute pyo-destructive diseases of the lungs, 82 of them had pleural complications and bronchopleural fistulas. A conclusion is made that it is expedient to use the method of searching occlusion for finding the fistula, the optimum terms of obturation in its treatment is determined. In the treatment of patients with acute pyo-destructive diseases of the lungs "the active conservative strategy" is recommended including active drainage of the destruction foci in the lungs and pleural cavity, hermetic sealing of the lung, together with detoxicating therapy, making up for protein and electrolyte losses with immunomodulation, sanitation of the bronchial tree.