Naumov V N, Abramov E L, Tokaev K V, Karaeva G B
Probl Tuberk. 1992(1-2):28-31.
Stepwise surgical tactics by using transsternal transepicardial preocclusion of the main bronchus and lung root vessels, opening of the empyema cavity and pneumotomy has been proposed to treat patients with progressive fibrocavernous tuberculosis complicated by pneumothorax and pleural empyema and extended into the thoracic wall. After 1.5-2 months the main stage of the operation, pleuropulmonectomy, is performed. Among the 25 patients operated on, the clinical effect was achieved in 15, 5 patients continued to take treatment, 5 patients died. The first results show that active care may be delivered to patients with complicated pulmonary and pleural tuberculosis who have recently had no hope to be recovered and the process be steady.
已提出采用经胸骨经心包主支气管和肺根血管预阻断、脓腔开放及肺切开术的分步手术策略，以治疗进展期纤维空洞型肺结核合并气胸和胸膜脓胸且已累及胸壁的患者。在1.5至2个月后进行手术的主要阶段——胸膜肺切除术。在接受手术的25例患者中，15例取得了临床疗效，5例继续接受治疗，5例死亡。初步结果表明，对于近期已无康复希望且病情稳定的复杂肺和胸膜结核患者，可以给予积极治疗。
