Romanchishen A F, Bakhars S M
Vestn Khir Im I I Grek. 2001;160(3):86-8.
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.
作者对222例肺部急性脓性破坏性疾病患者的治疗经验进行了分析，其中82例有胸膜并发症和支气管胸膜瘘。得出结论，采用探查闭塞法寻找瘘管是适宜的，并确定了其治疗中最佳的闭塞时机。对于肺部急性脓性破坏性疾病患者的治疗，推荐采用“积极保守策略”，包括积极引流肺部和胸膜腔的破坏灶、对肺进行密闭封堵、同时进行解毒治疗、补充蛋白质和电解质损失并进行免疫调节、清洁支气管树。
