Pastukhov N A
Vestn Khir Im I I Grek. 1975 Dec;115(12):6-11.
Seven cases of pulmonary gangrene are reported. The conservative therapy would somewhat improve the general patient's condition, but the destructive process in the lung proceeded. One patient was subjected to thoracotomy, in 6 subjects due to the extensive lesion pneumonectomy was performed. Postoperatively, pleural empyema developed in all patients, the former was eliminated by punctures and lavage of the pleural cavity during 2 months. One patient died after pneumonectomy, the remaining 5 patients radically operated upon were discharged with a completely liquidated suppurative process. It is the author's opinion that pneumonectomy seems to be a perspective and radical method of treatment for gangrene. Pneumotomy should be accomplished only in extremely grave cases.
报告了7例肺坏疽病例。保守治疗在一定程度上可改善患者的一般状况，但肺部的破坏过程仍在继续。1例患者接受了开胸手术，6例因病变广泛而行肺切除术。术后，所有患者均发生了胸膜脓胸，前者通过胸腔穿刺和冲洗在2个月内得以消除。1例患者肺切除术后死亡，其余5例接受根治性手术的患者出院时化脓性病变已完全消除。作者认为，肺切除术似乎是治疗坏疽的一种有前景的根治性方法。仅在极其严重的病例中才应进行肺切开术。
