Bulynin V I, Koshelev P I, Barsukov V A
Grud Serdechnososudistaia Khir. 1990(5):37-41.
The results of examination and treatment of 322 patients with acute pulmonary abscesses are analysed. The abscess was associated with pyothorax in 44.9% and with gangrene of the lung in 5.9% of cases. Two groups of patients identical in severity of their condition were studied to reveal the efficacy of hyperbaric oxygenation in the complex treatment of this category of patients. In one group (152 patients) only the generally accepted treatment was applied, in the other group (156 patients) this treatment was combined with a course of hyperbaric oxygen therapy. The developed method makes it possible to avoid hyperbaric injury to a lung containing closed air cavities. The method is based on reliable drainage of the abscess during the session. Comparison of the results of various methods of examination, including the data on hemodynamics, the function of the liver, and other, as well as the analysis of the clinical results of treatment showed the obvious efficacy of hyperbaric oxygenation in the complex management of patients with acute pulmonary abscesses.
对322例急性肺脓肿患者的检查及治疗结果进行了分析。在44.9%的病例中，脓肿与脓胸相关，在5.9%的病例中与肺坏疽相关。研究了两组病情严重程度相同的患者，以揭示高压氧疗在这类患者综合治疗中的疗效。一组（152例患者）仅采用公认的治疗方法，另一组（156例患者）则将该治疗方法与一个疗程的高压氧治疗相结合。所开发的方法能够避免对含有封闭气腔的肺造成高压损伤。该方法基于在治疗期间对脓肿进行可靠引流。对各种检查方法的结果进行比较，包括血流动力学、肝功能等数据，以及对治疗临床结果的分析，显示高压氧疗在急性肺脓肿患者的综合管理中具有明显疗效。
