Islambekov E S, Tishchukov A A, Ismailov D A
Grud Serdechnososudistaia Khir. 1990(3):34-7.
The authors describe 19 cases of rarely encountered complications of hydatid cyst of the lung: rupture into the pleural cavity in 13 patients and simultaneous rupture into the bronchus and pleural cavity in another 6 patients, which accounted for 2.4% of the total number of patients (840). These complications are serious and their diagnosis is made with certain difficulties. Complex roentgeno-bronchological and laboratory methods of examination must be used. Patients with the above-mentioned complications must be subjected to strictly individual surgical treatment in specialized clinics in the early periods of the development of the complication. Organ-preserving operations, supplemented by decortication and pleurectomy whenever necessary, is the method of choice. Temporizing tactics and prolonged nonoperative therapy lead to irreparable changes in the pleura and pulmonary tissue, and later--to extended operations.
作者描述了19例肺包虫囊肿罕见的并发症：13例患者囊肿破入胸腔，另6例患者囊肿同时破入支气管和胸腔，这些并发症占患者总数（840例）的2.4%。这些并发症很严重，诊断有一定困难。必须采用复杂的X线支气管造影和实验室检查方法。有上述并发症的患者在并发症发生早期必须在专科医院接受严格的个体化手术治疗。保留器官的手术，必要时辅以剥脱术和胸膜切除术，是首选方法。拖延战术和长期非手术治疗会导致胸膜和肺组织发生不可挽回的变化，随后导致扩大手术。
